| Wellpoint Dental | |
|
2700 W Cherry Ln Meridian ID 83642-1137 | |
| (208) 887-9000 | |
| Not Available |
| Full Name | Wellpoint Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2700 W Cherry Ln, Meridian, Idaho |
| Authorized Official Name and Position | Warren R Willis (CO-OWNER) |
| Authorized Official Contact | 2088879000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellpoint Dental 2700 W Cherry Ln Meridian ID 83642-1137 Ph: (208) 887-9000 | Wellpoint Dental 2700 W Cherry Ln Meridian ID 83642-1137 Ph: (208) 887-9000 |
| NPI Number | 1194980417 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 07/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194980417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DH-1189 (Idaho) | Primary |
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