Good Blood Pllc

NPI #1982119459 in Pocatello, Idaho

Provider Information

NPI Number: 1982119459
Entity Type: Organization
Organization Name: Good Blood Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 6, 2017
Last Updated: Jun 20, 2023

Practice Location

Address: 4165 YELLOWSTONE AVE
City: Pocatello
State: Idaho
ZIP Code: 83202-2414
Phone: (208) 425-4344

Authorized Official

Name: JED SNOW
Title: OWNER
Phone: (208) 425-4344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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