Organization
MOUNTAIN RIVER DENTAL PLLC
Active
Other names
Mountain River Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN D BELL D.D.S. (CO-OWNER)
(208) 787-8100
Entity
Organization
Contact information
Practice address
404 LUPINE DR., VICTOR, ID 83455
(208) 787-8100
(208) 787-8101
Mailing address
PO BOX 487, VICTOR, ID 83455-0487
(208) 787-8100
(208) 787-8101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
ID
Other
Enumeration date
09/26/2006
Last updated
08/22/2020
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