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Organization

SUNNYSIDE DENTAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RICHARD D STOKER DMD (DENTIST)
(208) 589-9107
Entity
Organization

Contact information

Practice address
1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 522-4700
(208) 522-5416
Mailing address
1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 522-4700
(208) 522-5416

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
02/03/2025
Last updated
02/03/2025
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