Organization
COLLINS FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE B COLLINS DMD (PRESIDENT)
(208) 880-2483
Entity
Organization
Contact information
Practice address
301 E ASH ST, CALDWELL, ID 83605-5282
(208) 454-1222
(208) 459-6947
Mailing address
301 E ASH ST, CALDWELL, ID 83605-5282
(208) 454-1222
(208) 459-6947
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-4440
ID
Other
Enumeration date
08/16/2012
Last updated
08/16/2012
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