Collins Family Dentistry | |
301 E Ash St Caldwell ID 83605-5282 | |
(208) 454-1222 | |
(208) 459-6947 |
Full Name | Collins Family Dentistry |
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Speciality | Clinic/center - Dental |
Location | 301 E Ash St, Caldwell, Idaho |
Authorized Official Name and Position | Kyle B Collins (PRESIDENT) |
Authorized Official Contact | 2088802483 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Collins Family Dentistry 301 E Ash St Caldwell ID 83605-5282 Ph: (208) 454-1222 | Collins Family Dentistry 301 E Ash St Caldwell ID 83605-5282 Ph: (208) 454-1222 |
NPI Number | 1962750349 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/16/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962750349 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D-4440 (Idaho) | Primary |
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