| Burley Kids Dental, Llc | |
|
859 Oakley Ave Burley ID 83318 | |
| (208) 677-4531 | |
| Not Available |
| Full Name | Burley Kids Dental, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 859 Oakley Ave, Burley, Idaho |
| Authorized Official Name and Position | Josh Jenkins (OWNER) |
| Authorized Official Contact | 2083603445 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Burley Kids Dental, Llc Po Box 6075 Twin Falls ID 83303-6075 Ph: (208) 677-4531 | Burley Kids Dental, Llc 859 Oakley Ave Burley ID 83318 Ph: (208) 677-4531 |
| NPI Number | 1245769439 |
|---|---|
| Provider Enumeration Date | 06/09/2017 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245769439 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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