Organization
GOODING FAMILY DENTAL
Active
Other names
Gooding Family and Cosmetic dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN NAVARRO DMD (DENTIST)
(208) 934-8080
Entity
Organization
Contact information
Practice address
325 MAIN ST, GOODING, ID 83330-1302
(208) 934-8080
(208) 934-9756
Mailing address
325 MAIN ST, GOODING, ID 83330-1302
(208) 934-8080
(208) 934-9756
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
4355
ID
Other
Enumeration date
05/26/2011
Last updated
05/26/2011
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