Bear Lake Dental Care, Pllc
NPI #1811001498 in Montpelier, Idaho
Provider Information
- NPI Number
- 1811001498
- Entity Type
- Organization
- Organization Name
- Bear Lake Dental Care, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 19, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 215 S 4TH ST
- City
- Montpelier
- State
- Idaho
- ZIP Code
- 83254-1591
- Phone
- (208) 847-0153
Authorized Official
- Name
- LINDA K TIMOTHY
- Title
- BUSINESS MANAGER
- Phone
- (208) 847-0153
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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