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Organization
SMILEMAKERS DENTAL OF POCATELLO PLLC
Active
Organization
SMILEMAKERS DENTAL OF POCATELLO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL P. ROMRIELL DMD (OWNER)
(208) 478-5700
Entity
Organization
Contact information
Practice address
675 YELLOWSTONE AVE STE E, POCATELLO, ID 83201-4511
(208) 478-5700
(208) 478-1181
Mailing address
675 YELLOWSTONE AVE STE E, POCATELLO, ID 83201-4511
(208) 478-5700
(208) 478-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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