Organization
ADVANCED DENTAL PC
Active
Other names
Advanced Dental Center, Advanced Dental, Dr. Ryan Hirschi
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN HIRSCHI DDS (OWNER/DENTIST)
(208) 852-0770
Entity
Organization
Contact information
Practice address
25 N 1ST E, PRESTON, ID 83263-1325
(208) 852-0770
(208) 852-3294
Mailing address
25 N 1ST E, PRESTON, ID 83263-1325
(208) 852-0770
(208) 852-3294
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/16/2019
Last updated
08/16/2019
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