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Organization
WOOD RIVER DENTAL CARE
Active
Organization
WOOD RIVER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T NORRIS DDS (DENTIST)
(208) 788-4900
Entity
Organization
Contact information
Practice address
317 S RIVER ST, HAILEY, ID 83333-8426
(208) 788-4900
(208) 788-1122
Mailing address
PO BOX 1006, HAILEY, ID 83333-1006
(208) 788-4900
(208) 788-1122
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3816
ID
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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