Silver Lake Dental Pllc
NPI #1851551345 in Dalton Gardens, Idaho
Provider Information
- NPI Number
- 1851551345
- Entity Type
- Organization
- Organization Name
- Silver Lake Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jun 10, 2008
- Last Updated
- Jun 10, 2008
Practice Location
- Address
- 6176 N GOVERNMENT WAY
- City
- Dalton Gardens
- State
- Idaho
- ZIP Code
- 83815-7331
- Phone
- (208) 762-3027
Authorized Official
- Name
- MR. JAMES S HOUGH, DDS
- Title
- OWNER
- Phone
- (208) 762-3027
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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