Fairview Dental Pllc | |
329 E Logan St Caldwell ID 83605-4863 | |
(208) 459-3388 | |
Not Available |
Full Name | Fairview Dental Pllc |
---|---|
Speciality | Dentist - General Practice |
Location | 329 E Logan St, Caldwell, Idaho |
Authorized Official Name and Position | Sean Wasden (COO) |
Authorized Official Contact | 2089659415 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fairview Dental Pllc 624 3rd St S Nampa ID 83651-3840 Ph: (208) 965-9415 | Fairview Dental Pllc 329 E Logan St Caldwell ID 83605-4863 Ph: (208) 459-3388 |
NPI Number | 1992480404 |
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Provider Enumeration Date | 06/21/2023 |
Last Update Date | 06/21/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992480404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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