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Organization
ADVANCED DENTAL CARE OF TWIN FALLS
Active
Organization
ADVANCED DENTAL CARE OF TWIN FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG RENCHER DMD (OWNER)
(208) 734-8080
Entity
Organization
Contact information
Practice address
342 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
(208) 734-8080
Mailing address
342 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1611
ID
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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