Exclusively Endodontics | |
1411 Falls Ave E Ste 1329 Twin Falls ID 83301-3467 | |
(208) 734-6464 | |
Not Available |
Full Name | Exclusively Endodontics |
---|---|
Speciality | Clinic/center - Dental |
Location | 1411 Falls Ave E Ste 1329, Twin Falls, Idaho |
Authorized Official Name and Position | Cameron D Oler (OWNER) |
Authorized Official Contact | 2087346464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Exclusively Endodontics 1411 Falls Ave E Ste 1329 Twin Falls ID 83301-3467 Ph: (208) 734-6464 | Exclusively Endodontics 1411 Falls Ave E Ste 1329 Twin Falls ID 83301-3467 Ph: (208) 734-6464 |
NPI Number | 1497915078 |
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Provider Enumeration Date | 06/17/2008 |
Last Update Date | 06/17/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497915078 | NPI | - | NPPES |
807527400 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D-3954-EN (Idaho) | Primary |
Green Acres Dental Pllc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 871 Green Acres Dr, Twin Falls, ID 83301 Phone: 208-733-4620 | |
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