Trademark Dental

NPI #1861793796 in New Plymouth, Idaho

Provider Information

NPI Number: 1861793796
Entity Type: Organization
Organization Name: Trademark Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 9, 2010
Last Updated: Nov 9, 2010

Practice Location

Address: 115 N. PLYMOUTH AVE.
City: New Plymouth
State: Idaho
ZIP Code: 83655
Phone: (208) 278-9900

Authorized Official

Name: DR. TYLER ROBB, DDS
Title: OWNER
Phone: (208) 278-9900

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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