# DELUXE DENTAL GROUP KUNA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023556172
- **Authorized official:** DR. JEREMY WALKER D.M.D. (PRESIDENT)
- **Authorized official phone:** (208) 274-4444

## Contact information

- **Practice address:** 1353 N MERIDIAN RD, STE 101, KUNA, ID 83634-1310
- **Practice address phone:** (208) 274-4444
- **Mailing address:** 1353 N MERIDIAN RD, STE 101, KUNA, ID 83634-1310

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 02/09/2017
- **Last updated:** 05/11/2017