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Organization
TOWN SQUARE DENTAL PARTNERS, PLLC
Active
Organization
TOWN SQUARE DENTAL PARTNERS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KLINT R KELLER DDS (OWNER/DOCTOR)
(208) 466-8400
Entity
Organization
Contact information
Practice address
8660 W EMERALD ST STE 152, BOISE, ID 83704-4828
(208) 639-4390
Mailing address
203 7TH AVE S, NAMPA, ID 83651-3846
(208) 466-8400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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