Onsite Dental, Pllc | |
524 E Fujii Dr Nampa ID 83686-6906 | |
(844) 667-4834 | |
(208) 376-3616 |
Full Name | Onsite Dental, Pllc |
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Speciality | Clinic/center - Dental |
Location | 524 E Fujii Dr, Nampa, Idaho |
Authorized Official Name and Position | Rose Mary Milner (VP OF OPERATIONS) |
Authorized Official Contact | 2085144739 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Onsite Dental, Pllc 524 E Fujii Dr Nampa ID 83686-6906 Ph: (844) 667-4834 | Onsite Dental, Pllc 524 E Fujii Dr Nampa ID 83686-6906 Ph: (844) 667-4834 |
NPI Number | 1053705178 |
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Provider Enumeration Date | 03/26/2015 |
Last Update Date | 03/26/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053705178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D3315 (Idaho) | Primary |
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