Organization
DENTURE CLINIC INC
Active
Other names
Dentures By Design
Organization subpart
No
Provider details
NPI number
Authorized official
FRED ELMER GIOVANINI LD (DENTURIST)
(208) 525-6002
Entity
Organization
Contact information
Practice address
505 1ST ST STE A, IDAHO FALLS, ID 83401-3929
(208) 525-6002
(208) 525-6003
Mailing address
505 1ST ST STE A, IDAHO FALLS, ID 83401-3929
(208) 525-6002
(208) 525-6003
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
LD35
ID
Other
Enumeration date
12/28/2016
Last updated
12/28/2016
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