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Organization

ADVANCED DENTAL CARE OF TWIN FALLS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRAIG RENCHER DMD (OWNER)
(208) 734-8080
Entity
Organization

Contact information

Practice address
342 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
(208) 734-8080
Mailing address
342 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1611
ID

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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