Organization
ONSITE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSE MARY MILNER (VP OF OPERATIONS)
(208) 514-4739
Entity
Organization
Contact information
Practice address
524 E FUJII DR, NAMPA, ID 83686-6906
(844) 667-4834
(208) 376-3616
Mailing address
524 E FUJII DR, NAMPA, ID 83686-6906
(844) 667-4834
(208) 376-3616
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D3315
ID
Other
Enumeration date
03/26/2015
Last updated
03/26/2015
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