Organization
MALAD VALLEY DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR B THORPE DDS (DENTIST/OWNER)
(208) 540-2646
Entity
Organization
Contact information
Practice address
185 S 300 E, MALAD CITY, ID 83252-1343
(208) 766-2204
(208) 766-2204
Mailing address
185 S 300 E, MALAD CITY, ID 83252-1343
(208) 766-2204
(208) 766-2204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
04/02/2026
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