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Organization
MAGIC VALLEY DENTURE CENTER INC
Active
Organization
MAGIC VALLEY DENTURE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R SANDER (OWNER LICENSED DENTURIST)
(208) 733-1987
Entity
Organization
Contact information
Practice address
253 5TH AVE N, TWIN FALLS, ID 83301
(208) 733-1987
(208) 733-1990
Mailing address
253 5TH AVE N, TWIN FALLS, ID 83301
(208) 733-1987
(208) 733-1990
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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