Organization
IDAHO CENTER DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM CHAD WOLFF D.D.S. (PRACTISING DENTIST)
(208) 461-6000
Entity
Organization
Contact information
Practice address
5826 E FRANKLIN RD, NAMPA, ID 83687-5020
(208) 461-6000
(877) 461-3636
Mailing address
16377 N MARKET PLACE BLVD, NAMPA, ID 83687-7910
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4256
ID
Other
Enumeration date
02/03/2011
Last updated
02/03/2011
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