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Organization
SAWTOOTH PERIODONTICS PLLC
Active
Organization
SAWTOOTH PERIODONTICS PLLC
Active
Other names
Sawtooth Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIP KATSEANES DMD, MSD (OWNER/DOCTOR)
(843) 530-4854
Entity
Organization
Contact information
Practice address
400 S MAIN ST STE 202, HAILEY, ID 83333-8856
(208) 971-4989
Mailing address
4681 S MARTINEL WAY, MERIDIAN, ID 83642-7341
(843) 530-4854
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/12/2024
Last updated
03/12/2024
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