Individual
DWIGHT ROMRIELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1777 E CLARK ST, SUITE 240, POCATELLO, ID 83201
(208) 234-7246
(208) 232-0207
Mailing address
1777 E CLARK ST, SUITE 240, POCATELLO, ID 83201
(208) 234-7246
(208) 232-0207
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1612
ID
Other
Enumeration date
08/22/2006
Last updated
06/01/2017
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