Organization
MCCORD ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAYNE MCCORD DMD (OWNER)
(208) 529-8333
Entity
Organization
Contact information
Practice address
3411 MERLIN DR, IDAHO FALLS, ID 83404-7430
(208) 529-8333
Mailing address
3411 MERLIN DR, IDAHO FALLS, ID 83404-7430
(208) 529-8333
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
08/22/2013
Last updated
08/22/2013
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