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
- City
- Sugar City
- 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 - Dental — Dental |
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