Organization
TYLER KENT MARLOWE DDS PLLC
Active
Other names
Portneuf Valley Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER KENT MARLOWE DDS (OWNER/OPERATOR)
(208) 881-7963
Entity
Organization
Contact information
Practice address
1246 YELLOWSTONE AVE STE D3, POCATELLO, ID 83201-4373
(208) 881-7963
Mailing address
519 S 19TH AVE, POCATELLO, ID 83201-3462
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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