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Organization
WEST RIVER DENTAL
Active
Organization
WEST RIVER DENTAL
Active
Other names
Sweet Tooth Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAN R. GREENHALGH DMD (OWNER DOCTOR)
(208) 523-3453
Entity
Organization
Contact information
Practice address
1850 W BROADWAY ST, IDAHO FALLS, ID 83402-3044
(208) 523-3453
(208) 523-3458
Mailing address
1850 W BROADWAY ST, IDAHO FALLS, ID 83402-3044
(208) 523-3453
(208) 523-3458
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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