Clearwater Dental Pllc

NPI #1215628268 in Nampa, Idaho

Provider Information

NPI Number: 1215628268
Entity Type: Organization
Organization Name: Clearwater Dental Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 18, 2023
Last Updated: May 18, 2023

Practice Location

Address: 3161 E GREENHURST RD
City: Nampa
State: Idaho
ZIP Code: 83686-8655
Phone: (208) 466-9915

Authorized Official

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

Specialties & Taxonomy Codes

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

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