| Desert Sage Health Center | |
|
120 Desert Sage Way Mountain Home ID 83647-1038 | |
| (208) 696-7203 | |
| Not Available |
| Full Name | Desert Sage Health Center |
|---|---|
| Speciality | Dentist |
| Location | 120 Desert Sage Way, Mountain Home, Idaho |
| Authorized Official Name and Position | Sharlet Wilson (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 2086967203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Desert Sage Health Center 120 Desert Sage Way Mountain Home ID 83647-1038 Ph: (208) 696-7203 | Desert Sage Health Center 120 Desert Sage Way Mountain Home ID 83647-1038 Ph: (208) 696-7203 |
| NPI Number | 1982089678 |
|---|---|
| Provider Enumeration Date | 07/23/2015 |
| Last Update Date | 09/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982089678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4672 (Idaho) | Primary |
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