Organization
BURLEY KIDS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH JENKINS (OWNER)
(208) 360-3445
Entity
Organization
Contact information
Practice address
859 OAKLEY AVE, BURLEY, ID 83318
(208) 677-4531
Mailing address
PO BOX 6075, TWIN FALLS, ID 83303-6075
(208) 677-4531
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/09/2017
Last updated
04/11/2023
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