Organization
IDAHO FALLS SMILES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID M HENINGER DDS (PRESIDENT/PART-OWNER)
(208) 524-1700
Entity
Organization
Contact information
Practice address
3375 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 524-1700
(208) 524-1702
Mailing address
3375 MERLIN DR, IDAHO FALLS, ID 83404-7405
(208) 524-1700
(208) 524-1702
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1920
ID
Other
Enumeration date
07/03/2013
Last updated
07/03/2013
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