Dixon Dental Center

NPI #1962664383 in Idaho Falls, Idaho

Provider Information

NPI Number
1962664383
Entity Type
Organization
Organization Name
Dixon Dental Center
Primary Specialty
Dentist
Enumeration Date
Jun 26, 2008
Last Updated
Jun 26, 2008

Practice Location

Address
205 ELM ST
Address 2
SUITE A
State
Idaho
ZIP Code
83402-4054
Phone
(208) 524-2771

Authorized Official

Name
DR. LORIN E DIXON, D.M.D.
Title
OWNER
Phone
(208) 524-2771

Specialties & Taxonomy Codes

Specialty
Dentist

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