Public Denture Center

NPI #1700294568 in Caldwell, Idaho

Provider Information

NPI Number
1700294568
Entity Type
Organization
Organization Name
Public Denture Center
Primary Specialty
Dental Laboratory
Enumeration Date
Jul 24, 2014
Last Updated
Jul 24, 2014

Practice Location

Address
2124 BLAINE ST
State
Idaho
ZIP Code
83605-4426
Phone
(208) 454-0311

Authorized Official

Name
REBECCA LYNN WESTERBERG, LD-32
Title
OWNER
Phone
(208) 323-7790

Specialties & Taxonomy Codes

Specialty
Dental Laboratory

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