Organization
BRENT CLINE DDS PLLC
Active
Other names
Oxford Dental
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT CLINE DDS (DENTIST)
(208) 201-5780
Entity
Organization
Contact information
Practice address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 529-0420
Mailing address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 529-0420
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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