Portneuf Valley Dental
NPI #1770127565 in Pocatello, Idaho
Provider Information
- NPI Number
- 1770127565
- Entity Type
- Organization
- Organization Name
- Portneuf Valley Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Nov 5, 2019
- Last Updated
- Nov 5, 2019
Practice Location
Authorized Official
- Name
- JAYSON ANDERS BIRD, DDS
- Title
- CEO/OWNER
- Phone
- (208) 680-5144
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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