| Green Acres Dental Pllc | |
|
871 Green Acres Dr Twin Falls ID 83301-3353 | |
| (208) 733-4620 | |
| Not Available |
| Full Name | Green Acres Dental Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 871 Green Acres Dr, Twin Falls, Idaho |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIAL) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Acres Dental Pllc 871 Green Acres Dr Twin Falls ID 83301-3353 Ph: (208) 733-4620 | Green Acres Dental Pllc 871 Green Acres Dr Twin Falls ID 83301-3353 Ph: (208) 733-4620 |
| NPI Number | 1013672617 |
|---|---|
| Provider Enumeration Date | 11/08/2021 |
| Last Update Date | 11/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013672617 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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