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Organization

JHKK PERIODONTICS, PLLC

Active
Other names
Idaho Perio. Center For Dental Implants and Laser Periodontal Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KIP KATSEANES DMD,MSD (PARTNER IN PRACTICE/PERIODONTIST)
(843) 530-4854
Entity
Organization

Contact information

Practice address
2273 S VISTA AVE STE 100, BOISE, ID 83705-7350
(208) 377-2777
(208) 377-3075
Mailing address
2273 S VISTA AVE STE 100, BOISE, ID 83705-7350
(208) 377-2777
(208) 377-3075

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary

Other

Enumeration date
06/23/2021
Last updated
06/23/2021
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