# SUN VALLEY DENTAL GROUP LLC

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

## Provider details

- **NPI number:** 1376792275
- **Authorized official:** DR. BRIAN CAMERON GALBRAITH DDS (DENTIST/OWNER)
- **Authorized official phone:** (208) 726-4711

## Contact information

- **Practice address:** 181 NORTH FIRST AVENUE, KETCHUM, ID 83340
- **Practice address phone:** (208) 726-4711
- **Mailing address:** PO BOX 3360, KETCHUM, ID 83340-3360
- **Mailing address phone:** (208) 726-4711
- **Mailing address fax:** (208) 726-6251

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/16/2008
- **Last updated:** 09/16/2008