Organization
PLUMTREE ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEAN ALEXANDER WASDEN (COO)
(208) 965-9415
Entity
Organization
Contact information
Practice address
1609 12TH AVE RD, NAMPA, ID 83686-6102
(208) 467-5259
Mailing address
624 3RD ST S, NAMPA, ID 83651-3840
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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