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Organization
TWO RIVERS DENTAL, PLLC
Active
Organization
TWO RIVERS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM MARTSCH DDS (DENTIST)
(208) 549-1732
Entity
Organization
Contact information
Practice address
107 N PLYMOUTH AVENUE, NEW PLYMOUTH, ID 83655
(208) 549-1732
(208) 549-4050
Mailing address
107 N PLYMOUTH AVENUE, NEW PLYMOUTH, ID 83655
(208) 549-1732
(208) 549-4050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3076
ID
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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