Organization
PRESTON DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KURT O IVERSON D.D.S. (OWNER)
(208) 852-3700
Entity
Organization
Contact information
Practice address
135 S STATE ST, PRESTON, ID 83263-1240
(208) 852-3700
(208) 852-3777
Mailing address
135 S STATE ST, PRESTON, ID 83263-1240
(208) 852-3700
(208) 852-3777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3402
ID
Other
Enumeration date
03/25/2008
Last updated
03/25/2008
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