Organization
KUNA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS W. CROFT DDS (OWNER)
(208) 922-4149
Entity
Organization
Contact information
Practice address
927 N LINDER RD, KUNA, ID 83634-1274
(208) 922-4149
(208) 922-4140
Mailing address
927 N LINDER RD, KUNA, ID 83634-1274
(208) 922-4149
(208) 922-4140
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3282
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
804236800
—
ID
Enumeration date
07/08/2008
Last updated
07/08/2008
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