Caribou Family Dental

NPI #1659898872 in Grace, Idaho

Provider Information

NPI Number: 1659898872
Entity Type: Organization
Organization Name: Caribou Family Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 28, 2017
Last Updated: Mar 17, 2018

Practice Location

Address: 114 W 1ST S
City: Grace
State: Idaho
ZIP Code: 83241-5391
Phone: (208) 425-3123

Authorized Official

Name: ROBERT N. PERKINS, DMD
Title: DENTIST
Phone: (208) 425-3123

Specialties & Taxonomy Codes

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

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