Organization
WEST VALLEY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HYMAS (ADMINISTRATOR)
(208) 841-7810
Entity
Organization
Contact information
Practice address
1217 N JACOB ALCOTT WAY, NAMPA, ID 83687-5198
(208) 936-4674
(208) 936-4732
Mailing address
1217 N JACOB ALCOTT WAY, NAMPA, ID 83687-5198
(208) 936-4674
(208) 936-4732
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
01/11/2022
Last updated
01/12/2022
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