Organization
WILLOW CREEK DENTAL
Active
Other names
WILLOW CREEK DENTAL
Organization subpart
No
Provider details
NPI number
Authorized official
DORCI HARRIS (OFFICE MANAGER)
(208) 221-6205
Entity
Organization
Contact information
Practice address
1380 LATAH AVENUE, IDAHO FALLS, ID, IDAHO FALLS, ID 83402
(208) 552-0919
(208) 552-1010
Mailing address
1380 LATAH AVE, IDAHO FALLS, ID 83402
(208) 552-0919
(208) 552-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/27/2025
Last updated
05/27/2025
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