Organization
POWER COUNTY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY A MILLER D.D.S. (PRESIDENT)
(208) 226-2976
Entity
Organization
Contact information
Practice address
843 REED ST, AMERICAN FALLS, ID 83211-1336
(208) 226-2976
(208) 226-1068
Mailing address
PO BOX 189, AMERICAN FALLS, ID 83211-0189
(208) 226-2976
(208) 226-1068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D2038
ID
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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