# KUNA DENTAL PC

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

## Provider details

- **NPI number:** 1942463187
- **Authorized official:** DOUGLAS W. CROFT DDS (OWNER)
- **Authorized official phone:** (208) 922-4149

## Contact information

- **Practice address:** 927 N LINDER RD, KUNA, ID 83634-1274
- **Practice address phone:** (208) 922-4149
- **Practice address fax:** (208) 922-4140
- **Mailing address:** 927 N LINDER RD, KUNA, ID 83634-1274
- **Mailing address phone:** (208) 922-4149
- **Mailing address fax:** (208) 922-4140

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D-3282 | ID | Yes |

## Other

- **Enumeration date:** 07/08/2008
- **Last updated:** 07/08/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 804236800 | — | ID |