STONE RIDGE DENTAL INC.

Preferred Provider Organization · SHELLEY, ID

Organization Active NPI 1558512277

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Preferred Provider Organization305R00000XD-4169ID

Other Preferred Provider Organization providers in Idaho

See all Preferred Provider Organization providers in Idaho

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.

STONE RIDGE DENTAL INC. — NPI 1558512277