Mountain Home Dental Pc | |
455 N 3rd E Mountain Home ID 83647 | |
(208) 587-2625 | |
Not Available |
Full Name | Mountain Home Dental Pc |
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Speciality | Clinic/center - Dental |
Location | 455 N 3rd E, Mountain Home, Idaho |
Authorized Official Name and Position | Jared Sexauer (DENTIST) |
Authorized Official Contact | 2085993189 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mountain Home Dental Pc 685 N 4th E Mountain Home ID 83647-2134 Ph: (208) 599-3189 | Mountain Home Dental Pc 455 N 3rd E Mountain Home ID 83647 Ph: (208) 587-2625 |
NPI Number | 1801437447 |
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Provider Enumeration Date | 10/04/2019 |
Last Update Date | 01/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801437447 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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