Stone Ridge Sugar City DBA Stone Ridge Dental

NPI #1881045698 in Sugar City, Idaho

Provider Information

NPI Number
1881045698
Entity Type
Organization
Organization Name
Stone Ridge Sugar City DBA Stone Ridge Dental
Subpart
Yes (part of a larger organization)
Parent Organization
STONE RIDGE DENTAL
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 23, 2016
Last Updated
Jun 23, 2016

Practice Location

Address
3 E CENTER ST
State
Idaho
ZIP Code
83448-1247
Phone
(208) 656-2000

Authorized Official

Name
DR. CURTIS CARPENTER, D.D.S.
Title
OWNER/PRESIDENT
Phone
(208) 656-2000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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