| |
16458 N Midland Blvd Nampa ID 83687 | |
(208) 461-5222 | |
(208) 505-1883 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 16458 N Midland Blvd, Nampa, Idaho |
Authorized Official Name and Position | Chris A Satchwell (OWNER) |
Authorized Official Contact | 2085732587 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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16458 N Midland Blvd Nampa ID 83687 Ph: (208) 461-5222 | 16458 N Midland Blvd Nampa ID 83687 Ph: (208) 461-5222 |
NPI Number | 1972764058 |
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Provider Enumeration Date | 06/20/2008 |
Last Update Date | 01/15/2025 |
Identifier | Type | State | Issuer |
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1972764058 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D-4145 (Idaho) | Primary |
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