Organization
TWO RIVERS FAMILY & COSMETIC DENTISTRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLAUDETTE KIM MEYER (OFFICE MANAGER)
(208) 634-5255
Entity
Organization
Contact information
Practice address
116 W BULLION ST, HAILEY, ID 83333-8425
(208) 788-4507
Mailing address
307 E PARK ST STE 103, MCCALL, ID 83638-3863
(208) 634-5255
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
11/15/2022
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