Organization
PAUL CONCIDINE DDS PLLC
Active
Other names
Payette Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CONCIDINE DDS (DENTIST/OWNER)
(208) 339-4854
Entity
Organization
Contact information
Practice address
1537 2ND AVE S, PAYETTE, ID 83661-2919
(208) 642-4111
Mailing address
1330 NW 24TH ST, FRUITLAND, ID 83619-2138
(208) 339-4854
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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