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2320 E Gala St Ste 200 Meridian ID 83642-4880 | |
| (208) 846-8847 | |
| (208) 288-2786 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2320 E Gala St Ste 200, Meridian, Idaho |
| Authorized Official Name and Position | Daron J. Lind (OWNER/DENTIST) |
| Authorized Official Contact | 2088468847 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
2320 E Gala St Ste 200 Meridian ID 83642-4880 Ph: (208) 846-8847 | 2320 E Gala St Ste 200 Meridian ID 83642-4880 Ph: (208) 846-8847 |
| NPI Number | 1992108708 |
|---|---|
| Provider Enumeration Date | 10/07/2014 |
| Last Update Date | 01/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992108708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D4189 (Idaho) | Primary |
The Center For Sleep Apnea And Tmj Pa Dental Clinic Medicare: Medicare Enrolled Practice Location: 1718 S. Millennium Way, Meridian, ID 83642 Phone: 208-376-3600 Fax: 208-376-3616 | |
Willow Tree Dental Group Llc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 317 W Cherry Ln, Meridian, ID 83642 Phone: 208-472-7817 Fax: 208-345-2601 |