NPI 1932793866

Challis Dental PLLC

Organisation Dental Clinic/Center Challis, ID

Practice location

Address: 121 S 12th St, Challis, ID 83226
Phone: (208) 589-9107

Authorised official

Name: Richard Dee Stoker
Title: Member
Phone: (208) 589-9107

Registered specialties

Dental Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QD0000X

Other Clinic/Center providers in Idaho →

Registry record

NPI: 1932793866
Entity type: Organization
NPI issued: 22 Feb 2021
Record last updated: 22 Feb 2021

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.