Zimbi Dental Pllc | |
1400 E 17th St Idaho Falls ID 83404-6269 | |
(208) 522-8061 | |
(208) 522-4535 |
Full Name | Zimbi Dental Pllc |
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Speciality | Clinic/center - Dental |
Location | 1400 E 17th St, Idaho Falls, Idaho |
Authorized Official Name and Position | Cade G Baldwin (OWNER) |
Authorized Official Contact | 2085228061 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Zimbi Dental Pllc 1400 E 17th St Idaho Falls ID 83404-6269 Ph: (208) 522-8061 | Zimbi Dental Pllc 1400 E 17th St Idaho Falls ID 83404-6269 Ph: (208) 522-8061 |
NPI Number | 1407355092 |
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Provider Enumeration Date | 02/08/2018 |
Last Update Date | 02/08/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407355092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | D3690 (Idaho) | Primary |
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