COLLEGE OF SOUTHERN IDAHO NPI 1477839744

NPI Information

COLLEGE OF SOUTHERN IDAHO is a dental clinic center in Twin Falls, ID. COLLEGE OF SOUTHERN IDAHO NPI is 1477839744. The provider is registered as an organization entity type.

The provider's business location address is:

315 FALLS AVE
TWIN FALLS, ID
ZIP 83301-367
Phone: (208) 732-6751
Fax: (208) 736-4743

The provider's authorized official is Mark Sugden .
The authorized official title is Dean Of Hshs Building and has the following contact phone number (208) 732-6849.

The enumeration date for this NPI number is 10/31/2011 and was last updated on 10/31/2011.

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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