Mckee Idaho Dental

NPI #1972319085 in Pocatello, Idaho

Provider Information

NPI Number: 1972319085
Entity Type: Organization
Organization Name: Mckee Idaho Dental
Primary Specialty: Dentist
Enumeration Date: Dec 4, 2024
Last Updated: Dec 9, 2024

Practice Location

Address: 1541 E CLARK ST
City: Pocatello
State: Idaho
ZIP Code: 83201-4100
Phone: (208) 232-6400

Authorized Official

Name: DR. PAUL CLARK, DMD, MD
Title: OWNER
Phone: (208) 232-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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