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Organization
RAINBOW DENTAL CLINIC LLC
Active
Organization
RAINBOW DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN JOSEPH RINALDI DDS (GENERAL DENTIST/ OWNER)
(208) 784-5801
Entity
Organization
Contact information
Practice address
418 W CAMERON AVE, KELLOGG, ID 83837-2111
(208) 784-5801
(208) 783-6011
Mailing address
418 W CAMERON AVE, KELLOGG, ID 83837-2111
(208) 784-5801
(208) 783-6011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1923
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1396810255
INDIVIDUAL NPI
—
Enumeration date
01/14/2014
Last updated
01/14/2014
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