Jhkk Periodontics, Pllc | |
2352 S Titanium Pl Meridian ID 83642-6867 | |
(208) 377-2777 | |
(208) 377-3075 |
Full Name | Jhkk Periodontics, Pllc |
---|---|
Speciality | Dentist - Periodontics |
Location | 2352 S Titanium Pl, Meridian, Idaho |
Authorized Official Name and Position | Kip Katseanes (CO-OWNER/DOCTOR) |
Authorized Official Contact | 2083772777 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jhkk Periodontics, Pllc 2352 S Titanium Pl Meridian ID 83642-6867 Ph: (208) 377-2777 | Jhkk Periodontics, Pllc 2352 S Titanium Pl Meridian ID 83642-6867 Ph: (208) 377-2777 |
NPI Number | 1326812637 |
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Provider Enumeration Date | 11/08/2023 |
Last Update Date | 11/14/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326812637 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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