Organization
DENTAL HEALTH CARE WITH HEART
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERIE DILLON (CEO)
(208) 642-1333
Entity
Organization
Contact information
Practice address
823 CENTER AVE, PAYETTE, ID 83661
(208) 642-1333
(208) 642-9060
Mailing address
823 CENTER AVE, PAYETTE, ID 83661
(208) 642-1333
(208) 642-9060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1434
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028072
—
OR
Enumeration date
02/16/2007
Last updated
08/22/2020
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