Michael T Mchugh D.d.s., PA

NPI #1891918603 in Pocatello, Idaho

Provider Information

NPI Number
1891918603
Entity Type
Organization
Organization Name
Michael T Mchugh D.d.s., PA
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Apr 10, 2007
Last Updated
Sep 7, 2007

Practice Location

Address
1246 YELLOWSTONE AVE
Address 2
STE. D3
State
Idaho
ZIP Code
83201-4374
Phone
(208) 238-0125

Authorized Official

Name
DR. MICHAEL T MCHUGH, D.D.S.
Title
PRESIDENT
Phone
(208) 238-0125

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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