Infinity Dental Pllc

NPI #1700241890 in Kimberly, Idaho

Provider Information

NPI Number
1700241890
Entity Type
Organization
Organization Name
Infinity Dental Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Dec 16, 2015
Last Updated
Dec 16, 2015

Practice Location

Address
622 CENTER ST W
State
Idaho
ZIP Code
83341-1720
Phone
(208) 423-5001

Authorized Official

Name
DR. TRAVIS TRENT SHEPHERD, D.M.D.
Title
PRESIDENT
Phone
(505) 787-0072

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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