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Organization
COMFORT CARE DENTAL OF IDAHO FALLS, PLLC
Active
Organization
COMFORT CARE DENTAL OF IDAHO FALLS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP HARPER D.M.D. (OWNER/DENTIST)
(208) 524-2300
Entity
Organization
Contact information
Practice address
3550 WASHINGTON PKWY, IDAHO FALLS, ID 83404-4968
(208) 524-2300
(208) 545-8447
Mailing address
3550 WASHINGTON PKWY, IDAHO FALLS, ID 83404-4968
(208) 524-2300
(208) 545-8447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4056
ID
261QD0000X
Dental Clinic/Center
D4164
ID
Other
Enumeration date
08/07/2009
Last updated
03/13/2019
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