Breathe Airway Meridian LLC

NPI #1275275349 in Meridian, Idaho

Provider Information

NPI Number: 1275275349
Entity Type: Organization
Organization Name: Breathe Airway Meridian LLC
Primary Specialty: Dentist
Enumeration Date: Apr 10, 2022
Last Updated: Apr 10, 2022

Practice Location

Address: 1067 S WELLS ST
City: Meridian
State: Idaho
ZIP Code: 83642-8596
Phone: (208) 484-5702

Authorized Official

Name: JOHN MCRAE, NP
Title: OWNER/PROVIDER
Phone: (208) 484-5702

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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