# TREASURE VALLEY ENDODONTICS, P.C.

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

## Provider details

- **NPI number:** 1770307084
- **Authorized official:** STANTON WIDMER (OWNER)
- **Authorized official phone:** (208) 454-3636

## Contact information

- **Practice address:** 4207 CLOCK TOWER AVE STE 101, CALDWELL, ID 83607-5236
- **Practice address phone:** (208) 454-3636
- **Mailing address:** 4207 CLOCK TOWER AVE STE 101, CALDWELL, ID 83607-5236

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | — | Yes |

## Other

- **Enumeration date:** 11/13/2024
- **Last updated:** 11/13/2024