# SAWTOOTH DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164539383
- **Authorized official:** MRS. KIMBERLY D DELUNA (OFFICE MANAGER)
- **Authorized official phone:** (208) 733-4515

## Contact information

- **Practice address:** 1437 PARKVIEW DR, TWIN FALLS, ID 83301-3250
- **Practice address phone:** (208) 733-4515
- **Practice address fax:** (208) 733-2757
- **Mailing address:** 1437 PARKVIEW DR, TWIN FALLS, ID 83301-3250
- **Mailing address phone:** (208) 733-4515
- **Mailing address fax:** (208) 733-2757

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | D4141 | ID | — |
| 1223G0001X | General Practice Dentistry | D3263 | ID | Yes |
| 1223G0001X | General Practice Dentistry | D4137 | ID | — |
| 1223G0001X | General Practice Dentistry | D4582 | ID | — |

## Other

- **Enumeration date:** 08/24/2006
- **Last updated:** 05/21/2015