Organization
NAMPA CALDWELL ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK A NILAND D.D.S.,M.S. (DOCTOR)
(208) 467-5259
Entity
Organization
Contact information
Practice address
1609 12TH AVE RD, NAMPA, ID 83686-6102
(208) 467-5259
(208) 466-3741
Mailing address
1609 12TH AVE RD, NAMPA, ID 83686-6102
(208) 467-5259
(208) 466-3741
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3235
OR
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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