Two Rivers Family Dentistry

NPI #1770165854 in Lewiston, Idaho

Provider Information

NPI Number
1770165854
Entity Type
Organization
Organization Name
Two Rivers Family Dentistry
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 27, 2021
Last Updated
Apr 27, 2021

Practice Location

Address
937 BRYDEN AVE
State
Idaho
ZIP Code
83501
Phone
(208) 746-2668

Authorized Official

Name
DR. BENJAMIN WAITES, DMD
Title
DENTIST
Phone
(208) 746-2668

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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