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Breanna Carlos
NPI 1124504337 · on the registry since 2018
Practice
- Address
- 1169 Call Creek Dr
Pocatello, ID 83201 - Phone
- (202) 232-7780
- Organisation at this address
- Care Creek Dental Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Sex
- Female
- Record last updated
- 2018-07-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho