Cherry Lane Dental

NPI #1083660021 in Meridian, Idaho

Provider Information

NPI Number
1083660021
Entity Type
Organization
Organization Name
Cherry Lane Dental
Primary Specialty
Point of Service
Enumeration Date
May 25, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
1104 W CHERRY LN
State
Idaho
ZIP Code
83642-1513
Phone
(208) 888-7889

Authorized Official

Name
JOHN ANDREW BERGLOFF, D.D.S.
Title
PRESIDENT
Phone
(208) 888-7889

Specialties & Taxonomy Codes

Specialty
Point of Service

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