Organization
MICHAEL J. MCCALL D.D.S., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JAMES MCCALL D.D.S. (PRESIDENT)
(208) 935-2143
Entity
Organization
Contact information
Practice address
306 MAIN STREET, KAMIAH, ID 83536
(208) 935-2143
Mailing address
306 MAIN STREET, P.O. BOX 458, KAMIAH, ID 83536
(208) 935-2143
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
C128433
ID
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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