Organization
OUR TOWN FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS GARTH STODDARD DMD (OWNING DOCTOR)
(208) 453-6188
Entity
Organization
Contact information
Practice address
39 W IDAHO ST, WEISER, ID 83672-1943
(208) 414-4444
Mailing address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 453-6188
(208) 459-0395
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
ID
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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