Organization
CEDAR SPRINGS FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN PATRICK WHITE DDS (MANAGER)
(208) 288-1454
Entity
Organization
Contact information
Practice address
790 W USTICK RD STE 110, MERIDIAN, ID 83646-5558
(208) 288-1454
Mailing address
790 W USTICK RD STE 110, MERIDIAN, ID 83646-5558
(208) 288-1454
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-3972
ID
Other
Enumeration date
05/16/2009
Last updated
05/16/2009
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