Organization
SPRING CREEK DENTISTRY, LLC
Active
Other names
Spring Creek Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL BRYSON STUCKI DDS (OWNER/DENTIST)
(208) 678-2332
Entity
Organization
Contact information
Practice address
1706 OVERLAND AVE, BURLEY, ID 83318-2436
(208) 678-2332
Mailing address
1706 OVERLAND AVE, BURLEY, ID 83318-2436
(208) 678-2332
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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