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3115 E Florence Dr Meridian ID 83642-1586 | |
| (208) 991-2963 | |
| (208) 466-5359 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3115 E Florence Dr, Meridian, Idaho |
| Authorized Official Name and Position | Donald Curtis (DIRECTOR OF REVENUE) |
| Authorized Official Contact | 2083239613 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 9 Nampa ID 83653-0009 Ph: (208) 461-7149 | 3115 E Florence Dr Meridian ID 83642-1586 Ph: (208) 991-2963 |
| NPI Number | 1073001699 |
|---|---|
| Provider Enumeration Date | 04/30/2018 |
| Last Update Date | 02/07/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073001699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | 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 |