Individual
DR. CHELSEA MARIE VERLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2201 E GALA ST, MERIDIAN, ID 83642-2798
(503) 867-4205
Mailing address
2201 E GALA ST, MERIDIAN, ID 83642-2798
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-5543
ID
1223G0001X
General Practice Dentistry
Primary
D-5543
ID
Other
Enumeration date
07/11/2023
Last updated
06/25/2024
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