| Playhouse Dentistry For Kids | |
|
125 S 10th E Mountain Home ID 83647-3120 | |
| (208) 453-6188 | |
| Not Available |
| Full Name | Playhouse Dentistry For Kids |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 125 S 10th E, Mountain Home, Idaho |
| Authorized Official Name and Position | Rhonda Elquist (OFFICE MANAGER) |
| Authorized Official Contact | 2084536188 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Playhouse Dentistry For Kids 125 S 10th E Mountain Home ID 83647-3120 Ph: () - | Playhouse Dentistry For Kids 125 S 10th E Mountain Home ID 83647-3120 Ph: (208) 453-6188 |
| NPI Number | 1801274253 |
|---|---|
| Provider Enumeration Date | 05/18/2015 |
| Last Update Date | 06/08/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801274253 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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