| Little Smiles Pediatric Dentistry Pc | |
|
602 N Calgary Ct Suite 201 Post Falls ID 83854-4000 | |
| (208) 777-9331 | |
| Not Available |
| Full Name | Little Smiles Pediatric Dentistry Pc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 602 N Calgary Ct, Post Falls, Idaho |
| Authorized Official Name and Position | Bradley Barlow (PRESIDENT) |
| Authorized Official Contact | 2087779331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Smiles Pediatric Dentistry Pc 602 N Calgary Ct Suite 201 Post Falls ID 83854-4000 Ph: () - | Little Smiles Pediatric Dentistry Pc 602 N Calgary Ct Suite 201 Post Falls ID 83854-4000 Ph: (208) 777-9331 |
| NPI Number | 1861926677 |
|---|---|
| Provider Enumeration Date | 04/18/2017 |
| Last Update Date | 04/18/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861926677 | NPI | - | NPPES |
| 28639 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D3781-PD (Idaho) | Primary |
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