Clearwater Dental Pllc | |
3161 E Greenhurst Rd Nampa ID 83686-8655 | |
(208) 466-9915 | |
Not Available |
Full Name | Clearwater Dental Pllc |
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Speciality | Clinic/center - Dental |
Location | 3161 E Greenhurst Rd, Nampa, Idaho |
Authorized Official Name and Position | Sean Wasden (COO) |
Authorized Official Contact | 2089659415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clearwater Dental Pllc 624 3rd St S Nampa ID 83651-3840 Ph: (208) 965-9415 | Clearwater Dental Pllc 3161 E Greenhurst Rd Nampa ID 83686-8655 Ph: (208) 466-9915 |
NPI Number | 1215628268 |
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Provider Enumeration Date | 05/18/2023 |
Last Update Date | 05/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215628268 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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