Yellowstone Dental Associates, Pllc

NPI #1588293146 in Pocatello, Idaho

Provider Information

NPI Number: 1588293146
Entity Type: Organization
Organization Name: Yellowstone Dental Associates, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 6, 2020
Last Updated: Apr 6, 2020

Practice Location

Address: 115 E CHAPEL RD
City: Pocatello
State: Idaho
ZIP Code: 83201-3540
Phone: (208) 232-3500

Authorized Official

Name: TAYLOR ASHCRAFT
Title: PRACTICE MANAGER
Phone: (208) 716-5669

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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