Organization
DELUXE DENTAL GROUP KUNA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WALKER D.M.D. (PRESIDENT)
(208) 274-4444
Entity
Organization
Contact information
Practice address
1353 N MERIDIAN RD, STE 101, KUNA, ID 83634-1310
(208) 274-4444
Mailing address
1353 N MERIDIAN RD, STE 101, KUNA, ID 83634-1310
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/09/2017
Last updated
05/11/2017
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