MAGIC VALLEY DENTAL ANESTHESIA PLLC NPI 1346824422

NPI Information

MAGIC VALLEY DENTAL ANESTHESIA PLLC is a dentist anesthesiologist dentist in Twin Falls, ID. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. MAGIC VALLEY DENTAL ANESTHESIA PLLC NPI is 1346824422. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1411 FALLS AVE E STE 1000C
TWIN FALLS, ID
ZIP 83301-459
Phone: (208) 734-7415

The provider's authorized official is Ryan Judd .
The authorized official title is Owner and has the following contact phone number (503) 679-9797.

The enumeration date for this NPI number is 5/5/2021 and was last updated on 5/5/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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