# GOODING FAMILY DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gooding Family and Cosmetic dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568755304
- **Authorized official:** DUSTIN NAVARRO DMD (DENTIST)
- **Authorized official phone:** (208) 934-8080

## Contact information

- **Practice address:** 325 MAIN ST, GOODING, ID 83330-1302
- **Practice address phone:** (208) 934-8080
- **Practice address fax:** (208) 934-9756
- **Mailing address:** 325 MAIN ST, GOODING, ID 83330-1302
- **Mailing address phone:** (208) 934-8080
- **Mailing address fax:** (208) 934-9756

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 4355 | ID | Yes |

## Other

- **Enumeration date:** 05/26/2011
- **Last updated:** 05/26/2011