Organization
GOLD ORTHODONTICS, P.C.
Active
Organization
GOLD ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LYNN GOLD D.M.D. (PRESIDENT)
(208) 884-5556
Entity
Organization
Contact information
Practice address
1550 E HERITAGE PARK ST STE 100, MERIDIAN, ID 83642-5886
(208) 884-5556
(208) 884-4041
Mailing address
1550 E HERITAGE PARK ST STE 100, MERIDIAN, ID 83642-5886
(208) 884-5556
(208) 884-4041
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-3489-OR
ID
Other
Enumeration date
08/02/2006
Last updated
08/22/2020
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