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Organization

AMERICAN FALLS DENTAL

Active
Other names
Falls Dental
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID STERZER DDS (DENTIST)
(208) 904-3496
Entity
Organization

Contact information

Practice address
239 IDAHO ST, AMERICAN FALLS, ID 83211-1235
(208) 904-3496
(208) 904-3514
Mailing address
239 IDAHO ST, AMERICAN FALLS, ID 83211-1235
(208) 904-3496
(208) 904-3514

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
D1967
ID
122300000X
Dentist
D3963
ID
122300000X
Dentist
Primary
D4634
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
002639200
ID
01
1467543595
NPI
ID
01
1760566384
NPI
ID
01
1811396708
NPI
ID
05
807472000
ID
Enumeration date
05/26/2015
Last updated
05/26/2015
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