Individual
DR. TARISAI GITHU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1378 N MERIDIAN RD, KUNA, ID 83634-1686
(208) 606-4816
Mailing address
2937 S BAY STAR WAY, MERIDIAN, ID 83642-3094
(267) 455-1373
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DS040704
PA
1223P0221X
Pediatric Dentistry
Primary
D-4990-PD
ID
Other
Enumeration date
04/20/2014
Last updated
03/14/2024
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