| Aspen Creek Dental Pllc | |
|
6144 Birch Ln Nampa ID 83687-4148 | |
| (208) 936-7111 | |
| (208) 461-4013 |
| Full Name | Aspen Creek Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6144 Birch Ln, Nampa, Idaho |
| Authorized Official Name and Position | Gail Brent Adams (OWNER) |
| Authorized Official Contact | 2089367111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspen Creek Dental Pllc 6144 Birch Ln Nampa ID 83687-4148 Ph: (208) 936-7111 | Aspen Creek Dental Pllc 6144 Birch Ln Nampa ID 83687-4148 Ph: (208) 936-7111 |
| NPI Number | 1285884056 |
|---|---|
| Provider Enumeration Date | 09/29/2008 |
| Last Update Date | 09/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285884056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4010 (Idaho) | Primary |
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