Organization
MOUNTAINS WEST DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONTE ROSCOE EPPICH DDS (MEMBER DENTIST OWNER)
(208) 253-6077
Entity
Organization
Contact information
Practice address
502 N DARTMOUTH, MOUNTAINS WEST DENTAL CLINIC PLLC, COUNCIL, ID 83612
(208) 253-6077
(208) 253-6076
Mailing address
PO BOX 572, 502 N DARTMOUTH, COUNCIL, ID 83612
(208) 253-6077
(208) 253-6076
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3548
ID
Other
Enumeration date
08/05/2006
Last updated
08/22/2020
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