Organization
SMILEMAKERS DENTAL OF POCATELLO PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL P. ROMRIELL DMD (OWNER)
(208) 478-5700
Entity
Organization
Contact information
Practice address
675 YELLOWSTONE AVE STE E, POCATELLO, ID 83201-4511
(208) 478-5700
(208) 478-1181
Mailing address
675 YELLOWSTONE AVE STE E, POCATELLO, ID 83201-4511
(208) 478-5700
(208) 478-1181
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0300X
Periodontics
Primary
—
—
1223P0700X
Prosthodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
126800000X
Dental Assistant
—
—
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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