Andrea S Radabaugh Dds Pllc | |
420 Division Ave Craigmont ID 83523 | |
(208) 924-5830 | |
Not Available |
Full Name | Andrea S Radabaugh Dds Pllc |
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Speciality | Dentist |
Location | 420 Division Ave, Craigmont, Idaho |
Authorized Official Name and Position | Andrea S Radabaugh (OWNER DENTIST) |
Authorized Official Contact | 5303337853 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Andrea S Radabaugh Dds Pllc Po Box 218 Craigmont ID 83523-0218 Ph: (530) 333-7853 | Andrea S Radabaugh Dds Pllc 420 Division Ave Craigmont ID 83523 Ph: (208) 924-5830 |
NPI Number | 1811281397 |
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Provider Enumeration Date | 06/02/2011 |
Last Update Date | 06/21/2011 |
Identifier | Type | State | Issuer |
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1811281397 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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122300000X | Dentist | D4296 (Idaho) | Primary |