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Organization
SPRING CREEK DENTISTRY, LLC
Active
Organization
SPRING CREEK DENTISTRY, LLC
Active
Other names
Spring Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRYSON STUCKI DDS (OWNER/DENTIST)
(208) 678-2332
Entity
Organization
Contact information
Practice address
1706 OVERLAND AVE, BURLEY, ID 83318-2436
(208) 678-2332
Mailing address
1706 OVERLAND AVE, BURLEY, ID 83318-2436
(208) 678-2332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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