Kuna Smiles Llc | |
943 N Linder Rd Ste 101 Kuna ID 83634-3395 | |
(208) 922-2000 | |
Not Available |
Full Name | Kuna Smiles Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 943 N Linder Rd Ste 101, Kuna, Idaho |
Authorized Official Name and Position | Chad Roskelley (OWNER) |
Authorized Official Contact | 2088303008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kuna Smiles Llc 943 N Linder Rd Ste 101 Kuna ID 83634-3395 Ph: () - | Kuna Smiles Llc 943 N Linder Rd Ste 101 Kuna ID 83634-3395 Ph: (208) 922-2000 |
NPI Number | 1134892904 |
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Provider Enumeration Date | 07/28/2021 |
Last Update Date | 08/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1134892904 | NPI | - | NPPES |
53580 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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