Organization
PARAMOUNT DENTAL PA
Active
Other names
Jarvis Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN M CROWLEY JARVIS DDS (DENTIST)
(208) 888-0900
Entity
Organization
Contact information
Practice address
1508 W CAYUSE CREEK DR, STE 150, MERIDIAN, ID 83646
(208) 888-0900
(208) 888-0950
Mailing address
1508 W CAYUSE CREEK DR, STE 150, MERIDIAN, ID 83646
(208) 888-0900
(208) 888-0950
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3995
ID
Other
Enumeration date
07/17/2007
Last updated
06/18/2008
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