Organization
A CHILDS SMILE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE ADAMSON (OFFICE MANAGER)
(208) 529-3007
Entity
Organization
Contact information
Practice address
3299 E. 17TH STREET, AMMON, ID 83406
(208) 529-3007
(208) 529-1525
Mailing address
PO BOX 351, IONA, ID 83427-0351
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-4196-PD
ID
Other
Enumeration date
11/18/2008
Last updated
05/14/2014
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