Paramount Dental PA

NPI #1093914210 in Meridian, Idaho

Provider Information

NPI Number
1093914210
Entity Type
Organization
Organization Name
Paramount Dental PA
Primary Specialty
Dentist - General Practice
Enumeration Date
Jul 17, 2007
Last Updated
Jun 18, 2008

Practice Location

Address
1508 W CAYUSE CREEK DR
Address 2
STE 150
State
Idaho
ZIP Code
83646
Phone
(208) 888-0900

Authorized Official

Name
DR. COLLEEN M CROWLEY JARVIS, DDS
Title
DENTIST
Phone
(208) 888-0900

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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