Organization
JHKK PERIODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KIP KATSEANES DMD, MSD (CO - OWNER/ DOCTOR)
(843) 530-4854
Entity
Organization
Contact information
Practice address
2352 S TITANIUM PL, MERIDIAN, ID 83642-6867
(208) 377-2777
(208) 377-3075
Mailing address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 377-2777
(208) 377-3075
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/11/2023
Last updated
11/14/2023
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