Hayden Family Dental Center, Pllc

NPI #1649589441 in Hayden, Idaho

Provider Information

NPI Number: 1649589441
Entity Type: Organization
Organization Name: Hayden Family Dental Center, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 28, 2010
Last Updated: Sep 28, 2010

Practice Location

Address: 52 W COMMERCE DR
City: Hayden
State: Idaho
ZIP Code: 83835-9221
Phone: (208) 772-3132

Authorized Official

Name: DR. BENJAMIN D BABCOCK, DDS
Title: DENTIST
Phone: (208) 772-3132

Specialties & Taxonomy Codes

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

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