Organization
MACHEN FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ESTHER B MACHEN D.D.S. (PRESIDENT)
(208) 552-0775
Entity
Organization
Contact information
Practice address
3500 POTOMAC WAY, SUITE 200, IDAHO FALLS, ID 83404-4974
(208) 552-0775
Mailing address
3500 POTOMAC WAY, SUITE 200, IDAHO FALLS, ID 83404-4974
(208) 552-0775
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4356
ID
Other
Enumeration date
07/07/2011
Last updated
10/14/2016
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