| Awp Dental Group | |
|
16377 N Market Place Blvd Nampa ID 83687-7910 | |
| (208) 884-4466 | |
| (208) 884-3023 |
| Full Name | Awp Dental Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16377 N Market Place Blvd, Nampa, Idaho |
| Authorized Official Name and Position | James Anderson (VICE PRESIDENT) |
| Authorized Official Contact | 2088844466 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Awp Dental Group 16377 N Market Place Blvd Nampa ID 83687-7910 Ph: (208) 884-4466 | Awp Dental Group 16377 N Market Place Blvd Nampa ID 83687-7910 Ph: (208) 884-4466 |
| NPI Number | 1972764058 |
|---|---|
| Provider Enumeration Date | 06/20/2008 |
| Last Update Date | 08/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972764058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-4145 (Idaho) | Primary |
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