Organization
FELLOWS FAMILY DENTAL - AD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MALINDA PARKER (OFFICE MANAGER)
(208) 237-4357
Entity
Organization
Contact information
Practice address
1598 DELPHIC WAY STE B, POCATELLO, ID 83201-2200
(208) 237-4357
(208) 237-1418
Mailing address
1598 DELPHIC WAY STE B, POCATELLO, ID 83201-2200
(208) 237-4357
(208) 237-1418
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
05/28/2025
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