Stone Ridge Dental P.c.
NPI #1609113455 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1609113455
- Entity Type
- Organization
- Organization Name
- Stone Ridge Dental P.c.
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Jan 14, 2013
- Last Updated
- Jan 14, 2013
Practice Location
Authorized Official
- Name
- DR. CURTIS CARPENTER, D.D.S.
- Title
- PRESIDENT
- Phone
- (208) 357-7900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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