Organization
PORTNEUF DENTAL PLLC
Active
Other names
Superior Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
DARCY JO HOCHSTRASSER (OFFICE MANAGER)
(208) 233-4310
Entity
Organization
Contact information
Practice address
115 S 15TH AVE, SUITE #E, POCATELLO, ID 83201-4004
(208) 233-4310
(208) 233-4368
Mailing address
115 S 15TH AVE, SUITE #E, POCATELLO, ID 83201-4004
(208) 233-4310
(208) 233-4368
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
ID
Other
Enumeration date
12/03/2015
Last updated
02/02/2016
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