NPI 1184169245

Denture Clinic INC

Organisation Dental Laboratory Idaho Falls, ID

Practice location

Address: 505 1st St STE a, Idaho Falls, ID 83401-3929
Phone: (208) 525-6002
Fax: (208) 525-6003

Authorised official

Name: Fred Elmer Giovanini
Title: Denturist
Phone: (208) 525-6002

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X Licence LD35 (ID)

Other Dental Laboratory providers in Idaho →

Registry record

NPI: 1184169245
Entity type: Organization
NPI issued: 28 Dec 2016
Record last updated: 28 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.