Mcrae Dental PA

NPI #1184884348 in Meridian, Idaho

Provider Information

NPI Number
1184884348
Entity Type
Organization
Organization Name
Mcrae Dental PA
Subpart
Yes (part of a larger organization)
Parent Organization
MCRAE DENTAL
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jun 11, 2008
Last Updated
Oct 20, 2017

Practice Location

Address
1067 S. WELLS ST.
State
Idaho
ZIP Code
83642-3561
Phone
(208) 895-8486

Authorized Official

Name
DR. LON CHAD MCRAE, DMD
Title
DR
Phone
(208) 894-8486

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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