Organization
ASPEN CREEK DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAIL BRENT ADAMS D.M.D. (OWNER)
(208) 936-7111
Entity
Organization
Contact information
Practice address
6144 BIRCH LN, NAMPA, ID 83687-4148
(208) 936-7111
(208) 461-4013
Mailing address
6144 BIRCH LN, NAMPA, ID 83687-4148
(208) 936-7111
(208) 461-4013
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4010
ID
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
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