| Club 32 Dental | |
|
624 3rd St S Nampa ID 83651-3840 | |
| (208) 466-2456 | |
| (208) 318-0227 |
| Full Name | Club 32 Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 624 3rd St S, Nampa, Idaho |
| Authorized Official Name and Position | Kim Benson Keller (OWNER) |
| Authorized Official Contact | 2085058586 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Club 32 Dental 624 3rd St S Nampa ID 83651-3840 Ph: (208) 505-8586 | Club 32 Dental 624 3rd St S Nampa ID 83651-3840 Ph: (208) 466-2456 |
| NPI Number | 1720698608 |
|---|---|
| Provider Enumeration Date | 08/05/2020 |
| Last Update Date | 02/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720698608 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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Jmj Holding Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 12th Ave Rd Ste 102, Nampa, ID 83686 Phone: 208-996-3010 | |
Onsite Dental, Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 E Fujii Dr, Nampa, ID 83686 Phone: 844-667-4834 Fax: 208-376-3616 | |
Christian C. Cusimano Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-4362 Fax: 208-463-9080 | |
Russell C. Pool, Dmd, Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 109 12th Ave Rd, Nampa, ID 83686 Phone: 208-467-2545 Fax: 208-466-3607 | |
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