Allied Dental Clinic, PC

NPI #1790999407 in Pocatello, Idaho

Provider Information

NPI Number
1790999407
Entity Type
Organization
Organization Name
Allied Dental Clinic, PC
Primary Specialty
Dentist - General Practice
Enumeration Date
May 10, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1246 YELLOWSTONE AVE STE B3
State
Idaho
ZIP Code
83201-4372
Phone
(208) 237-0563

Authorized Official

Name
RANDALL C SNOW, DMD
Title
OWNER
Phone
(208) 237-0563

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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