Deluxe Dental Group Kuna

NPI #1023556172 in Kuna, Idaho

Provider Information

NPI Number: 1023556172
Entity Type: Organization
Organization Name: Deluxe Dental Group Kuna
Primary Specialty: Dentist - General Practice
Enumeration Date: Feb 9, 2017
Last Updated: May 11, 2017

Practice Location

Address: 1353 N MERIDIAN RD
Address 2: STE 101
City: Kuna
State: Idaho
ZIP Code: 83634-1310
Phone: (208) 274-4444

Authorized Official

Name: DR. JEREMY WALKER, D.M.D.
Title: PRESIDENT
Phone: (208) 274-4444

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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