Gentle Dental Care Pllc | |
1601 12th Ave Rd Ste 103 Nampa ID 83686-6185 | |
(208) 467-9690 | |
(208) 466-0412 |
Full Name | Gentle Dental Care Pllc |
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Speciality | Dentist - General Practice |
Location | 1601 12th Ave Rd Ste 103, Nampa, Idaho |
Authorized Official Name and Position | Mark T. Mcdonald (DENTIST) |
Authorized Official Contact | 2084679690 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gentle Dental Care Pllc 1601 12th Ave Rd Ste 103 Nampa ID 83686-6185 Ph: (208) 467-9690 | Gentle Dental Care Pllc 1601 12th Ave Rd Ste 103 Nampa ID 83686-6185 Ph: (208) 467-9690 |
NPI Number | 1902077001 |
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Provider Enumeration Date | 03/17/2008 |
Last Update Date | 06/09/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902077001 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3958 (Idaho) | Primary |
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