Organization
MAGIC VALLEY ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN WRIGHT MCMINN D.M.D. (ORTHODONTIST)
(915) 249-5302
Entity
Organization
Contact information
Practice address
1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 83301-3459
(208) 734-7415
(208) 733-1922
Mailing address
1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 83301-3459
(208) 734-7415
(208) 733-1922
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
07/10/2013
Last updated
07/10/2013
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