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Organization
MONTE PAGE FAMILY DENTISTRY
Active
Organization
MONTE PAGE FAMILY DENTISTRY
Active
Other names
Smiles by Design
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD LAMONTE PAGE D.M.D. (PRESIDENT)
(208) 237-6453
Entity
Organization
Contact information
Practice address
135 WARREN AVE, POCATELLO, ID 83201-4621
(208) 237-6453
(208) 233-4227
Mailing address
135 WARREN AVE, POCATELLO, ID 83201-4621
(208) 237-6453
(208) 233-4227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3606
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806402100
—
ID
Enumeration date
10/12/2006
Last updated
09/17/2008
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