Organization
DENTURE CLINIC INC
Active
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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