| Adacare Dental & Dentures Pllc | |
|
3909 E Fairview Ave Ste 150 Meridian ID 83642-5814 | |
| (208) 996-5808 | |
| (208) 996-7208 |
| Full Name | Adacare Dental & Dentures Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3909 E Fairview Ave Ste 150, Meridian, Idaho |
| Authorized Official Name and Position | Carl Larson (OWNER) |
| Authorized Official Contact | 2089965808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adacare Dental & Dentures Pllc 3909 E Fairview Ave Ste 150 Meridian ID 83642-5814 Ph: (208) 996-5808 | Adacare Dental & Dentures Pllc 3909 E Fairview Ave Ste 150 Meridian ID 83642-5814 Ph: (208) 996-5808 |
| NPI Number | 1316687437 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316687437 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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