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Organization

JUSTIN D WARD DMD MSD PLLC

Active
Other names
River Valley Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN WARD D.M.D., M.S.D. (OWNER)
20867833265
Entity
Organization

Contact information

Practice address
2271 OVERLAND AVE STE 4, BURLEY, ID 83318-2957
(208) 678-3265
Mailing address
2271 OVERLAND AVE STE 4, BURLEY, ID 83318-2957

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-4510-OR
ID

Other

Enumeration date
09/23/2013
Last updated
09/23/2013
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