Organization
TWO RIVERS DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE NEWTON DMD (OWNER)
(208) 549-1732
Entity
Organization
Contact information
Practice address
513 E MAIN ST, WEISER, ID 83672-2225
(208) 549-1732
(208) 549-4050
Mailing address
513 E MAIN ST, WEISER, ID 83672-2225
(208) 549-1732
(208) 549-4050
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3280
ID
Other
Enumeration date
07/02/2007
Last updated
08/22/2020
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