Organization
COTTONWOOD DENTAL CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STUART MARSHALL D.D.S. (DENTIST)
(208) 354-9700
Entity
Organization
Contact information
Practice address
180 S MAIN ST, SUITE B2, DRIGGS, ID 83422-5034
(208) 354-9700
(208) 354-9701
Mailing address
180 S MAIN ST, SUITE B2, DRIGGS, ID 83422-5034
(208) 354-9700
(208) 354-9701
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D3890
ID
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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