# GENTLE DENTAL CARE PLLC

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

## Provider details

- **NPI number:** 1902077001
- **Authorized official:** MARK T. MCDONALD D.D.S. (DENTIST)
- **Authorized official phone:** (208) 467-9690

## Contact information

- **Practice address:** 1601 12TH AVE RD STE 103, NAMPA, ID 83686-6185
- **Practice address phone:** (208) 467-9690
- **Practice address fax:** (208) 466-0412
- **Mailing address:** 1601 12TH AVE RD STE 103, NAMPA, ID 83686-6185
- **Mailing address phone:** (208) 467-9690
- **Mailing address fax:** (208) 466-0412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D3958 | ID | Yes |

## Other

- **Enumeration date:** 03/17/2008
- **Last updated:** 06/09/2016