Organization
SOFT TOUCH DENTAL
Active
Parent organization
SOFT TOUCH DENTAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOFT TOUCH DENTAL
Authorized official
KIM WOOD (RECEPTIONIST)
(208) 522-4700
Entity
Organization
Contact information
Practice address
3350 S 15 TH E, IDAHO FALLS, ID 83404
(208) 522-4700
Mailing address
3350 S 15TH E, IDAHO FALLS, ID 83404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806709800
—
ID
Enumeration date
10/01/2009
Last updated
10/01/2009
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