Organization
DENTAL CARE FOR KIDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL ELDON WHITT DMD (DENTIST/ OWNER)
(208) 888-7711
Entity
Organization
Contact information
Practice address
3235 N TOWERBRIDGE WAY, SUITE 200, MERIDIAN, ID 83646-5721
(208) 888-7711
(208) 888-3089
Mailing address
3235 N TOWERBRIDGE WAY, SUITE 200, MERIDIAN, ID 83646-5721
(208) 888-7711
(208) 888-3089
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-3868
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D4065
IDAHO LICENSE
ID
Enumeration date
05/29/2012
Last updated
05/29/2012
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