Teton Valley Dental Center Pllc
NPI #1801112628 in Driggs, Idaho
Provider Information
- NPI Number
- 1801112628
- Entity Type
- Organization
- Organization Name
- Teton Valley Dental Center Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 19, 2010
- Last Updated
- Apr 19, 2010
Practice Location
Authorized Official
- Name
- SUSETTE BRIZZEE
- Title
- OFFICE MANAGER
- Phone
- (208) 354-8181
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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