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Organization
LEVEL UP FAMILY DENTAL
Active
Organization
LEVEL UP FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRASON JOSEPH HADFIELD DMD (GENERAL DENTIST)
(208) 398-3020
Entity
Organization
Contact information
Practice address
1100 E RIVERSIDE DR, EAGLE, ID 83616-7707
(208) 398-3020
Mailing address
3157 N VIGO AVE, STAR, ID 83669-1066
(208) 870-1778
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/30/2026
Last updated
03/30/2026
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