Parkwest Dental Care

NPI #1861666745 in Idaho Falls, Idaho

Provider Information

NPI Number: 1861666745
Entity Type: Organization
Organization Name: Parkwest Dental Care
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 22, 2008
Last Updated: Aug 7, 2020

Practice Location

Address: 1088 N SKYLINE DR
City: Idaho Falls
State: Idaho
ZIP Code: 83402-1726
Phone: (208) 524-0870

Authorized Official

Name: BRETT D. JACOBSON, DDS
Title: OWNER/DENTIST
Phone: (208) 524-0870

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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