Organization
CARIBOU FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT N. PERKINS DMD (DENTIST)
(208) 425-3123
Entity
Organization
Contact information
Practice address
114 W 1ST S, GRACE, ID 83241-5391
(208) 425-3123
Mailing address
PO BOX 345, GRACE, ID 83241-0345
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4716
ID
Other
Enumeration date
08/28/2017
Last updated
03/17/2018
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