Individual
DARLENE L STEELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3142
(208) 366-7416
(208) 366-2595
Mailing address
2280 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3142
(208) 366-7416
(208) 366-2595
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH-1495
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH-1495
IDAHO DENTISTRY LICENSE #
ID
Enumeration date
03/06/2007
Last updated
07/08/2007
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