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Organization

CEDAR HILLS FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID MICHAEL SUTTON D.D.S. (PRESIDENT/DENTIST)
(208) 233-2230
Entity
Organization

Contact information

Practice address
1525 BANNOCK HWY, POCATELLO, ID 83204-3509
(208) 233-2230
Mailing address
1525 BANNOCK HWY, POCATELLO, ID 83204-3509

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3509
ID

Other

Enumeration date
04/11/2008
Last updated
04/11/2008
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