# SOFT TOUCH DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SOFT TOUCH DENTAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1033443478
- **Legal business name:** SOFT TOUCH DENTAL
- **Authorized official:** KIM WOOD (RECEPTIONIST)
- **Authorized official phone:** (208) 522-4700

## Contact information

- **Practice address:** 3350 S 15 TH E, IDAHO FALLS, ID 83404
- **Practice address phone:** (208) 522-4700
- **Mailing address:** 3350 S 15TH E, IDAHO FALLS, ID 83404

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2009
- **Last updated:** 10/01/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 806709800 | — | ID |
