Organization
TODAYS DENTAL CARE WENDELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMIAH FUNK (DENTIST)
(208) 536-5441
Entity
Organization
Contact information
Practice address
410 N IDAHO ST, WENDELL, ID 83355-5038
(208) 536-5441
(208) 536-5873
Mailing address
119 COUNTRY LN, JEROME, ID 83338-6147
(208) 324-8861
(208) 324-8899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
02/23/2023
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