Integrity Care Dental Llc | |
1105 3rd Ave N Payette ID 83661-2407 | |
(208) 642-9763 | |
(208) 642-3554 |
Full Name | Integrity Care Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 1105 3rd Ave N, Payette, Idaho |
Authorized Official Name and Position | Justin Craig Smith (OWNER) |
Authorized Official Contact | 2086429763 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Integrity Care Dental Llc 1105 3rd Ave N Payette ID 83661-2407 Ph: (208) 642-9763 | Integrity Care Dental Llc 1105 3rd Ave N Payette ID 83661-2407 Ph: (208) 642-9763 |
NPI Number | 1306603386 |
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Provider Enumeration Date | 03/05/2024 |
Last Update Date | 03/05/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306603386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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