Organization
EASTERN IDAHO ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BART MORRISON DDS (OWNER/ENDODONTISTS)
(208) 524-3770
Entity
Organization
Contact information
Practice address
3335 S. HOLMES AVE, IDAHO FALLS, ID 83404
(208) 524-3770
(208) 524-3795
Mailing address
3335 S. HOLMES AVE, IDAHO FALLS, ID 83404
(208) 524-3770
(208) 524-3795
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
06/17/2019
Last updated
06/17/2019
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