Organization
DENTAL PARTNERS USTICK PLLC
Active
Other names
Today's Dentistry Caldwell
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KLINT KELLER DDS (DR)
(208) 446-8400
Entity
Organization
Contact information
Practice address
4403 E USTICK RD # 104, CALDWELL, ID 83605-6802
(208) 994-3033
(208) 475-6599
Mailing address
4403 E USTICK RD # 104, CALDWELL, ID 83605-6802
(208) 994-3033
(208) 475-6599
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4634
ID
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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