Individual
DR. TODD S ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4702 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7449
(208) 938-1825
(208) 938-5763
Mailing address
4702 N PENNGROVE WAY STE 100, MERIDIAN, ID 83646-7449
(208) 938-1825
(208) 938-5763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
13196763-9921
UT
1223G0001X
General Practice Dentistry
56025
CA
1223G0001X
General Practice Dentistry
Primary
D-5485
ID
Other
Enumeration date
10/19/2007
Last updated
09/09/2024
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