Organization
JOHN K. HINTZ DDS, MS, PA
Active
Organization
JOHN K. HINTZ DDS, MS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K. HINTZ DDS, MS, PA (PRESIDENT)
(208) 762-0202
Entity
Organization
Contact information
Practice address
195 W. WYOMING AVE, HAYDEN, ID 83835
(208) 762-0202
(208) 762-4398
Mailing address
195 W. WYOMING AVE, HAYDEN, ID 83835
(208) 762-0202
(208) 762-4398
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3370
ID
Other
Enumeration date
10/01/2012
Last updated
10/01/2012
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