| Gold Orthodontics, P.c. | |
|
1550 E Heritage Park St Ste 100 Meridian ID 83642-5886 | |
| (208) 884-5556 | |
| (208) 884-4041 |
| Full Name | Gold Orthodontics, P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1550 E Heritage Park St Ste 100, Meridian, Idaho |
| Authorized Official Name and Position | Michael Lynn Gold (PRESIDENT) |
| Authorized Official Contact | 2088845556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gold Orthodontics, P.c. 1550 E Heritage Park St Ste 100 Meridian ID 83642-5886 Ph: (208) 884-5556 | Gold Orthodontics, P.c. 1550 E Heritage Park St Ste 100 Meridian ID 83642-5886 Ph: (208) 884-5556 |
| NPI Number | 1134136286 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134136286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D-3489-OR (Idaho) | Primary |
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