Organization
TOOTHACRES DENTAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAD RYAN HELM D.D.S (OWNER)
(208) 773-8388
Entity
Organization
Contact information
Practice address
105 E 10TH AVE, SUITE B, POST FALLS, ID 83854-5125
(208) 773-8388
(208) 777-0346
Mailing address
105 E 10TH AVE, SUITE B, POST FALLS, ID 83854-5125
(208) 777-0346
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3866
ID
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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