Couch-Burtenshaw Dental

NPI #1770725772 in Rexburg, Idaho

Provider Information

NPI Number: 1770725772
Entity Type: Organization
Organization Name: Couch-Burtenshaw Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 6, 2009
Last Updated: Apr 6, 2009

Practice Location

Address: 1014 ERIKSON DR
City: Rexburg
State: Idaho
ZIP Code: 83440-5297
Phone: (208) 359-5454

Authorized Official

Name: MISS REANA LYN
Title: OFFICE MANAGER
Phone: (208) 359-5454

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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