| Idaho Dental Professionals, P.c. | |
|
1097 N Jacksonmill Ave Kuna ID 83634-2086 | |
| (208) 519-7171 | |
| (208) 519-7136 |
| Full Name | Idaho Dental Professionals, P.c. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1097 N Jacksonmill Ave, Kuna, Idaho |
| Authorized Official Name and Position | Belinda Huerta (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 2175402100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Dental Professionals, P.c. 1097 N Jacksonmill Ave Kuna ID 83634-2086 Ph: (208) 519-7171 | Idaho Dental Professionals, P.c. 1097 N Jacksonmill Ave Kuna ID 83634-2086 Ph: (208) 519-7171 |
| NPI Number | 1366135857 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366135857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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