Organization
AESTHETIC SMILES P LLC
Active
Other names
Alpine Heights Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA LECHUGA (OFFICE MANAGER)
(208) 888-1802
Entity
Organization
Contact information
Practice address
2015 N LOCUST GROVE RD, MERIDIAN, ID 83646-1827
(208) 888-1802
(208) 887-3908
Mailing address
2015 N LOCUST GROVE RD, MERIDIAN, ID 83646-1827
(208) 888-1802
(208) 887-3908
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4225
ID
Other
Enumeration date
05/08/2017
Last updated
05/08/2017
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