| Signature Smiles | |
|
3200 N Leslie Way Ste 110 Meridian ID 83646-5362 | |
| (208) 322-0024 | |
| Not Available |
| Full Name | Signature Smiles |
|---|---|
| Speciality | Dentist |
| Location | 3200 N Leslie Way Ste 110, Meridian, Idaho |
| Authorized Official Name and Position | Kenyon L Oyler (DENTIST) |
| Authorized Official Contact | 2083220024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Smiles 3200 N Leslie Way Ste 110 Meridian ID 83646-5362 Ph: (208) 322-0024 | Signature Smiles 3200 N Leslie Way Ste 110 Meridian ID 83646-5362 Ph: (208) 322-0024 |
| NPI Number | 1598144198 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598144198 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-3327 (Idaho) | Primary |
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