Organization
GENTLE DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK T. MCDONALD D.D.S. (DENTIST)
(208) 467-9690
Entity
Organization
Contact information
Practice address
1601 12TH AVE RD STE 103, NAMPA, ID 83686-6185
(208) 467-9690
(208) 466-0412
Mailing address
1601 12TH AVE RD STE 103, NAMPA, ID 83686-6185
(208) 467-9690
(208) 466-0412
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3958
ID
Other
Enumeration date
03/17/2008
Last updated
06/09/2016
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