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Organization

HOOVER CHARTERED

Active
Other names
Hoover Dental
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY ALLAN HOOVER DMD (OWNER)
(208) 524-4668
Entity
Organization

Contact information

Practice address
1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322
(208) 524-4668
Mailing address
1520 ELK CREEK DR, IDAHO FALLS, ID 83404-8322

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D3085
ID

Other

Enumeration date
06/02/2010
Last updated
06/02/2010
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