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Organization
CALL FAMILY DENTISTRY
Active
Organization
CALL FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS F CALL D.D.S. (OWNER)
(208) 233-2500
Entity
Organization
Contact information
Practice address
1352 E CENTER ST STE B, POCATELLO, ID 83201-4769
(208) 233-2500
(208) 233-2603
Mailing address
1352 E CENTER ST STE B, POCATELLO, ID 83201-4769
(208) 233-2500
(208) 233-2603
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002640700
—
ID
01
—
10009571
REGENCE BLUE CROSS
ID
01
—
61192
BLUE CROSS OF IDAHO
ID
01
—
779347
UNITED CONCORDIA
PA
Enumeration date
06/04/2008
Last updated
06/04/2008
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