| Treasure Valley Orthodontics | |
|
1200 W Cherry Ln Ste 101 Meridian ID 83642-4933 | |
| (208) 898-0000 | |
| (208) 898-9000 |
| Full Name | Treasure Valley Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1200 W Cherry Ln Ste 101, Meridian, Idaho |
| Authorized Official Name and Position | Greg Guymon (CO-OWNER) |
| Authorized Official Contact | 2088980000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Treasure Valley Orthodontics 1200 W Cherry Ln Ste 101 Meridian ID 83642-4933 Ph: (208) 898-0000 | Treasure Valley Orthodontics 1200 W Cherry Ln Ste 101 Meridian ID 83642-4933 Ph: (208) 898-0000 |
| NPI Number | 1174636963 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174636963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D3295OR (Idaho) | Primary |
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