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Organization
CORNERSTONE FAMILY DENTAL PLLC
Active
Organization
CORNERSTONE FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS D SNARR D.D.S (OWNER)
(208) 356-4240
Entity
Organization
Contact information
Practice address
44 S CENTER ST, REXBURG, ID 83440-3016
(208) 356-4240
(208) 356-5361
Mailing address
44 S CENTER ST, REXBURG, ID 83440-3016
(208) 356-4240
(208) 356-5361
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9196514
—
ID
Enumeration date
01/15/2016
Last updated
01/15/2016
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