Organization
SMILES 4 KIDS CALDWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA ELQUIST (MANAGER)
(208) 760-0335
Entity
Organization
Contact information
Practice address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
(208) 723-7415
Mailing address
4111 CLOCK TOWER AVE, CALDWELL, ID 83607-5006
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
ID
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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