Michael J. Mccall D.d.s., Pa | |
306 Main Street Kamiah ID 83536 | |
(208) 935-2143 | |
Not Available |
Full Name | Michael J. Mccall D.d.s., Pa |
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Speciality | Clinic/center - Dental |
Location | 306 Main Street, Kamiah, Idaho |
Authorized Official Name and Position | Michael James Mccall (PRESIDENT) |
Authorized Official Contact | 2089352143 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Michael J. Mccall D.d.s., Pa 306 Main Street P.o. Box 458 Kamiah ID 83536 Ph: (208) 935-2143 | Michael J. Mccall D.d.s., Pa 306 Main Street Kamiah ID 83536 Ph: (208) 935-2143 |
NPI Number | 1013021575 |
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Provider Enumeration Date | 08/19/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1013021575 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | C128433 (Idaho) | Primary |