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Organization
SOFT TOUCH DENTAL
Active
Organization
SOFT TOUCH DENTAL
Active
Parent organization
SOFT TOUCH DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOFT TOUCH DENTAL
Authorized official
KIM WOOD (RECEPTIONIST)
(208) 522-4700
Entity
Organization
Contact information
Practice address
3350 S 15 TH E, IDAHO FALLS, ID 83404
(208) 522-4700
Mailing address
3350 S 15TH E, IDAHO FALLS, ID 83404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806709800
—
ID
Enumeration date
10/01/2009
Last updated
10/01/2009
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