| Dental Care For Kids | |
|
3235 N Towerbridge Way Suite 200 Meridian ID 83646-5721 | |
| (208) 888-7711 | |
| (208) 888-3089 |
| Full Name | Dental Care For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3235 N Towerbridge Way, Meridian, Idaho |
| Authorized Official Name and Position | Joel Eldon Whitt (DENTIST/ OWNER) |
| Authorized Official Contact | 2088887711 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care For Kids 3235 N Towerbridge Way Suite 200 Meridian ID 83646-5721 Ph: (208) 888-7711 | Dental Care For Kids 3235 N Towerbridge Way Suite 200 Meridian ID 83646-5721 Ph: (208) 888-7711 |
| NPI Number | 1972863678 |
|---|---|
| Provider Enumeration Date | 05/29/2012 |
| Last Update Date | 05/29/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972863678 | NPI | - | NPPES |
| D4065 | Other | ID | IDAHO LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D-3868 (Idaho) | Primary |
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