Idaho Dental Aid, Pllc | |
604 3rd St S Nampa ID 83651-3840 | |
(208) 466-9088 | |
(208) 466-2294 |
Full Name | Idaho Dental Aid, Pllc |
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Speciality | Dentist - General Practice |
Location | 604 3rd St S, Nampa, Idaho |
Authorized Official Name and Position | Kim Benson Keller (OWNER) |
Authorized Official Contact | 2084669088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Idaho Dental Aid, Pllc 604 3rd St S Nampa ID 83651-3840 Ph: (208) 466-9088 | Idaho Dental Aid, Pllc 604 3rd St S Nampa ID 83651-3840 Ph: (208) 466-9088 |
NPI Number | 1891921052 |
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Provider Enumeration Date | 06/02/2009 |
Last Update Date | 06/02/2009 |
Identifier | Type | State | Issuer |
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1891921052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D-3065 (Idaho) | Primary |
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Jmj Holding Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 914 12th Ave Rd Ste 102, Nampa, ID 83686 Phone: 208-996-3010 | |
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Christian C. Cusimano Dds, Ms, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 345 W Iowa Ave, Nampa, ID 83686 Phone: 208-467-4362 Fax: 208-463-9080 | |
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