Cornerstone Family Dental PLLC
Dentist in Rexburg, ID. Organization (NPI-2).
NPI number1013374461
StatusActive
Last updated in NPPESJan 15, 2016
Details
- NPI
- 1013374461
- Entity type
- Organization (NPI-2)
- Legal business name
- Cornerstone Family Dental PLLC
- Organization subpart
- No
- Enumeration date
- Jan 15, 2016
- Last updated
- Jan 15, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
44 S Center StRexburg, ID 83440-3016
Phone 208-356-4240 · Fax 208-356-5361
Mailing address
44 S Center StRexburg, ID 83440-3016
Phone 208-356-4240 · Fax 208-356-5361
Authorized official
Thomas D Snarr
Owner
2083564240
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