Organization
IDAHO DENTAL PROFESSIONALS, P.C.
Active
Parent organization
IDAHO DENTAL PROFESSIONALS, P.C.
Other names
Dental Care at Verona
Organization subpart
Yes
Provider details
NPI number
Legal business name
IDAHO DENTAL PROFESSIONALS, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
3177 W MILANO DR, MERIDIAN, ID 83646-7290
(208) 228-7104
Mailing address
3177 W MILANO DR, MERIDIAN, ID 83646-7290
(208) 228-7104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/23/2022
Last updated
09/23/2022
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