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Organization
DENTAL PARTNERS USTICK PLLC
Active
Organization
DENTAL PARTNERS USTICK PLLC
Active
Other names
Today's Dentistry Caldwell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KLINT KELLER DDS (DR)
(208) 446-8400
Entity
Organization
Contact information
Practice address
4403 E USTICK RD # 104, CALDWELL, ID 83605-6802
(208) 994-3033
(208) 475-6599
Mailing address
4403 E USTICK RD # 104, CALDWELL, ID 83605-6802
(208) 994-3033
(208) 475-6599
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4634
ID
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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