| Plumtree Orthodontics Pllc | |
|
1609 12th Ave Rd Nampa ID 83686-6102 | |
| (208) 467-5259 | |
| Not Available |
| Full Name | Plumtree Orthodontics Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1609 12th Ave Rd, Nampa, Idaho |
| Authorized Official Name and Position | Sean Alexander Wasden (COO) |
| Authorized Official Contact | 2089659415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plumtree Orthodontics Pllc 624 3rd St S Nampa ID 83651-3840 Ph: () - | Plumtree Orthodontics Pllc 1609 12th Ave Rd Nampa ID 83686-6102 Ph: (208) 467-5259 |
| NPI Number | 1134980402 |
|---|---|
| Provider Enumeration Date | 01/23/2024 |
| Last Update Date | 01/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134980402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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