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Contact Information

DENTURE CLINIC INC
505 1ST ST STE A
IDAHO FALLS, ID83401-3929
 Phone: 208-525-6002
 Fax: 208-525-6003
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Laboratory

292200000X
Indicates primary specialty

NPI Profile & details for DENTURE CLINIC INC

NPI # 1184169245
LBN Legal business name DENTURE CLINIC INC
Authorized official FRED GIOVANINI - (DENTURIST)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2016
Last updated 12/28/2016 - About 9 years ago
Identifiers
ID License # LD35
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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