Jhkk Periodontics, Pllc | |
6019 N Eagle Rd Boise ID 83713-0997 | |
(208) 377-2777 | |
(208) 377-3075 |
Full Name | Jhkk Periodontics, Pllc |
---|---|
Speciality | Dentist - Periodontics |
Location | 6019 N Eagle Rd, Boise, Idaho |
Authorized Official Name and Position | Kip Katseanes (PARTNER IN PRACTICE/PERODONTIST) |
Authorized Official Contact | 8435304854 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Jhkk Periodontics, Pllc 6019 N Eagle Rd Boise ID 83713-0997 Ph: (208) 377-2777 | Jhkk Periodontics, Pllc 6019 N Eagle Rd Boise ID 83713-0997 Ph: (208) 377-2777 |
NPI Number | 1184399214 |
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Provider Enumeration Date | 08/11/2021 |
Last Update Date | 08/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184399214 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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