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1508 W Cayuse Creek Dr Ste 150 Meridian ID 83646 | |
(208) 888-0900 | |
(208) 888-0950 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 1508 W Cayuse Creek Dr, Meridian, Idaho |
Authorized Official Name and Position | Colleen M Crowley Jarvis (DENTIST) |
Authorized Official Contact | 2088880900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1508 W Cayuse Creek Dr Ste 150 Meridian ID 83646 Ph: (208) 888-0900 | 1508 W Cayuse Creek Dr Ste 150 Meridian ID 83646 Ph: (208) 888-0900 |
NPI Number | 1093914210 |
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Provider Enumeration Date | 07/17/2007 |
Last Update Date | 06/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093914210 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | D3995 (Idaho) | Primary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Willow Tree Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Cherry Ln, Meridian, ID 83642 Phone: 208-472-7817 Fax: 208-345-2601 |