# RIVERWEST DENTAL, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** RiverWest Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134356140
- **Authorized official:** DR. JUSTIN D BELL DDS (MANAGER)
- **Authorized official phone:** (208) 522-1911

## Contact information

- **Practice address:** 1655 PANCHERI DR., IDAHO FALLS, ID 83402
- **Practice address phone:** (208) 522-1911
- **Practice address fax:** (208) 523-4441
- **Mailing address:** 1655 PANCHERI DR., IDAHO FALLS, ID 83402
- **Mailing address phone:** (208) 522-1911
- **Mailing address fax:** (208) 523-4441

## Taxonomy

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

## Other

- **Enumeration date:** 06/17/2009
- **Last updated:** 06/17/2009