Idaho Pediatric Dentistry
Idaho Pediatric Dentistry is a Special Hospital in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2008.
- Licensed in
- ID
- In the registry since
- 2008
Practice location Address checks out
4401 E Flamingo AveNampa, ID 83687-3113
Phone: (208) 461-5459
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Special Hospital (primary) | Taxonomy 284300000X · Licence D3936PD (ID) |
|---|
Record details
| NPI number | 1659530103 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kathi Nelson — Office Manager · (208) 461-5459 |
| NPI enumerated | June 9, 2008 |
| Last updated in NPPES | June 9, 2008 |
| Mailing address | 4401 E Flamingo Ave, Nampa, ID 83687-3113 |