Organization
SUNNY SMILES PEDIATRIC DENTISTRY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAILEY HOUSLEY DDS (MANAGING MEMBER)
(208) 709-5333
Entity
Organization
Contact information
Practice address
3015 EAGLE DR, AMMON, ID 83406
(208) 709-5333
Mailing address
2449 N FOOTHILL RD, IDAHO FALLS, ID 83401-5855
(208) 709-5333
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/23/2022
Last updated
11/23/2022
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