208 DENTAL

NPI: 1356945539 · Organization · Active

Primary Specialty

General Practice Dentistry
Dentist — General Practice

Practice Location

53 E CALDERWOOD DR # 110
MERIDIAN, ID 83642-7440 Map ↗
Phone: 208-501-8860
Fax: 208-501-8862

All Specialties & Licenses

  • General Practice Dentistry Primary — General Practice

NPI Registration

Enumerated: 2020-11-28

Last CMS Update: 2022-07-11