| Crystal Canyon Family Dental | |
|
616 S 10th Ave Caldwell ID 83605-4112 | |
| (208) 454-0473 | |
| Not Available |
| Full Name | Crystal Canyon Family Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 616 S 10th Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Keven Freeman (OWNER) |
| Authorized Official Contact | 8015206325 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crystal Canyon Family Dental 616 S 10th Ave Caldwell ID 83605-4112 Ph: () - | Crystal Canyon Family Dental 616 S 10th Ave Caldwell ID 83605-4112 Ph: (208) 454-0473 |
| NPI Number | 1356879720 |
|---|---|
| Provider Enumeration Date | 05/30/2017 |
| Last Update Date | 05/30/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356879720 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4834 (Idaho) | Primary |
Club 32 Dental Caldwell Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1916 Ellis Ave, Caldwell, ID 83605 Phone: 208-466-2456 | |
Ideal Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 329 E Logan St, Caldwell, ID 83605 Phone: 208-459-3388 Fax: 208-453-9295 | |
Christensen Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4111 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-455-1816 Fax: 208-459-1446 | |
Morning Star Dental Pa Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-455-9498 | |
Smiles 4 Kids Caldwell Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4111 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-723-7415 | |
Pearl Dentistry Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4012 Brian Ave, Caldwell, ID 83605 Phone: 208-459-4312 Fax: 208-459-9059 | |
Darin R. Mooso Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4105 Clock Tower Ave, Caldwell, ID 83607 Phone: 208-455-0033 Fax: 208-455-8535 |