Two Rivers Dental

NPI #1669612776 in Mccall, Idaho

Provider Information

NPI Number
1669612776
Entity Type
Organization
Organization Name
Two Rivers Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Mar 2, 2009
Last Updated
Mar 2, 2009

Practice Location

Address
307 E PARK ST STE 203
City
Mccall
State
Idaho
ZIP Code
83638-5255
Phone
(208) 634-5255

Authorized Official

Name
DR. SHANE L NEWTON, DMD
Title
OWNER
Phone
(208) 634-5255

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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