Organization
DENTAL CENTER P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. R. TERRY HALL DDS (OWNER)
(208) 587-7949
Entity
Organization
Contact information
Practice address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-7949
(208) 587-2978
Mailing address
815 N 6TH E, MOUNTAIN HOME, ID 83647-2207
(208) 587-7949
(208) 587-2978
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3126
ID
Other
Enumeration date
08/21/2006
Last updated
08/22/2020
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