| Treasure Valley Endodontics, P.c. | |
|
4207 Clock Tower Ave Ste 101 Caldwell ID 83607-5236 | |
| (208) 454-3636 | |
| Not Available |
| Full Name | Treasure Valley Endodontics, P.c. |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 4207 Clock Tower Ave Ste 101, Caldwell, Idaho |
| Authorized Official Name and Position | Stanton Widmer (OWNER) |
| Authorized Official Contact | 2084543636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Endodontics, P.c. 4207 Clock Tower Ave Ste 101 Caldwell ID 83607-5236 Ph: () - | Treasure Valley Endodontics, P.c. 4207 Clock Tower Ave Ste 101 Caldwell ID 83607-5236 Ph: (208) 454-3636 |
| NPI Number | 1770307084 |
|---|---|
| Provider Enumeration Date | 11/13/2024 |
| Last Update Date | 11/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770307084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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