| Daniel J. Stackowicz, Dds, P.c. | |
|
16377 N Marketplace Blvd Nampa ID 83687-7910 | |
| (208) 936-7338 | |
| Not Available |
| Full Name | Daniel J. Stackowicz, Dds, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 16377 N Marketplace Blvd, Nampa, Idaho |
| Authorized Official Name and Position | Daniel Stackowicz (OWNER) |
| Authorized Official Contact | 2089367338 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel J. Stackowicz, Dds, P.c. 16377 N Marketplace Blvd Nampa ID 83687-7910 Ph: (208) 936-7338 | Daniel J. Stackowicz, Dds, P.c. 16377 N Marketplace Blvd Nampa ID 83687-7910 Ph: (208) 936-7338 |
| NPI Number | 1699557181 |
|---|---|
| Provider Enumeration Date | 10/18/2023 |
| Last Update Date | 10/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699557181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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