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Organization
GOODING FAMILY DENTAL
Active
Organization
GOODING FAMILY DENTAL
Active
Other names
Gooding Family and Cosmetic dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN NAVARRO DMD (DENTIST)
(208) 934-8080
Entity
Organization
Contact information
Practice address
325 MAIN ST, GOODING, ID 83330-1302
(208) 934-8080
(208) 934-9756
Mailing address
325 MAIN ST, GOODING, ID 83330-1302
(208) 934-8080
(208) 934-9756
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4355
ID
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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