Idaho Buckeye INC

NPI #1083279087 in Payette, Idaho

Provider Information

NPI Number
1083279087
Entity Type
Organization
Organization Name
Idaho Buckeye INC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
May 6, 2019
Last Updated
May 6, 2019

Practice Location

Address
1537 2ND AVE S
State
Idaho
ZIP Code
83661-2919
Phone
(208) 642-4111

Authorized Official

Name
DENNIS GARPETTI, DDS
Title
DENTIST
Phone
(208) 377-2160

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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