Organization
SMILES 4 KIDS HAILEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA ELQUIST (MANAGER)
(208) 760-0335
Entity
Organization
Contact information
Practice address
317 S RIVER ST, HAILEY, ID 83333-8426
(208) 731-8726
Mailing address
317 S RIVER ST, HAILEY, ID 83333-8426
(208) 731-8726
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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