Plumtree Orthodontics Pllc

NPI #1134980402 in Nampa, Idaho

Provider Information

NPI Number: 1134980402
Entity Type: Organization
Organization Name: Plumtree Orthodontics Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 23, 2024
Last Updated: Jan 23, 2024

Practice Location

Address: 1609 12TH AVE RD
City: Nampa
State: Idaho
ZIP Code: 83686-6102
Phone: (208) 467-5259

Authorized Official

Name: SEAN ALEXANDER WASDEN
Title: COO
Phone: (208) 965-9415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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