Childrens Dentistry of Fruitland
NPI #1619634250 in Fruitland, Idaho
Provider Information
- NPI Number
- 1619634250
- Entity Type
- Organization
- Organization Name
- Childrens Dentistry of Fruitland
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CHILDREN'S DENTISTRY OF IDAHO, PLLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Nov 18, 2021
- Last Updated
- Nov 18, 2021
Practice Location
Authorized Official
- Name
- RACHEL MITCHELL
- Title
- BUSINESS MANAGER
- Phone
- (208) 467-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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