# SUNNYSIDE DENTAL CARE LLC

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

## Provider details

- **NPI number:** 1538973359
- **Authorized official:** RICHARD D STOKER DMD (DENTIST)
- **Authorized official phone:** (208) 589-9107

## Contact information

- **Practice address:** 1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
- **Practice address phone:** (208) 522-4700
- **Practice address fax:** (208) 522-5416
- **Mailing address:** 1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
- **Mailing address phone:** (208) 522-4700
- **Mailing address fax:** (208) 522-5416

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/03/2025
- **Last updated:** 02/03/2025