Meridian Dental, Pllc

NPI #1295741957 in Meridian, Idaho

Provider Information

NPI Number: 1295741957
Entity Type: Organization
Organization Name: Meridian Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 1, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 780 W CHERRY LN
City: Meridian
State: Idaho
ZIP Code: 83642-1617
Phone: (208) 888-4711

Authorized Official

Name: MS. ALLYSON KOUSKY
Title: INSURANCE MANAGER
Phone: (208) 888-4711

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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