Organization
WEST RIVER DENTAL
Active
Other names
Sweet Tooth Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DAN R. GREENHALGH DMD (OWNER DOCTOR)
(208) 523-3453
Entity
Organization
Contact information
Practice address
1850 W BROADWAY ST, IDAHO FALLS, ID 83402-3044
(208) 523-3453
(208) 523-3458
Mailing address
1850 W BROADWAY ST, IDAHO FALLS, ID 83402-3044
(208) 523-3453
(208) 523-3458
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/14/2022
Last updated
04/14/2022
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