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Organization
NEW SMILE INC.
Active
Organization
NEW SMILE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH ROBERT WESTERBERG DENTURIST (OWNER/DENTURIST)
(208) 454-0311
Entity
Organization
Contact information
Practice address
2124 BLAINE ST, CALDWELL, ID 83605
(208) 454-0311
Mailing address
2124 BLAINE ST, CALDWELL, ID 83605-4426
(208) 454-0311
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
LD-92
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174051403
—
ID
Enumeration date
05/31/2017
Last updated
07/21/2022
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