Organization
GEDDES LLC
Active
Other names
Dental Center, Blum, Wind River Dental LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW D GEDDES DDS (MEMBER)
(208) 432-2025
Entity
Organization
Contact information
Practice address
236 RIVER VISTA PL, TWIN FALLS, ID 83301-4078
(208) 352-6360
(208) 737-5255
Mailing address
236 RIVER VISTA PL, TWIN FALLS, ID 83301-4078
(208) 352-6360
(208) 737-5255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1169
WY
Other
Enumeration date
06/12/2008
Last updated
12/28/2019
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