Organization
AESTHETIC SMILES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WADE AUSTEN PILLING DMD (DENTIST)
(208) 888-0662
Entity
Organization
Contact information
Practice address
4795 N SUMMIT WAY STE 120, MERIDIAN, ID 83646-5017
(208) 888-0662
(208) 888-0863
Mailing address
4795 N SUMMIT WAY STE 120, MERIDIAN, ID 83646-5017
(208) 888-0662
(208) 888-0863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3877
ID
Other
Enumeration date
06/30/2008
Last updated
05/01/2017
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