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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