Idaho Center Dental Care

NPI #1407152721 in Nampa, Idaho

Provider Information

NPI Number: 1407152721
Entity Type: Organization
Organization Name: Idaho Center Dental Care
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Feb 3, 2011
Last Updated: Feb 3, 2011

Practice Location

Address: 5826 E FRANKLIN RD
City: Nampa
State: Idaho
ZIP Code: 83687-5020
Phone: (208) 461-6000

Authorized Official

Name: WILLIAM CHAD WOLFF, D.D.S.
Title: PRACTISING DENTIST
Phone: (208) 461-6000

Specialties & Taxonomy Codes

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

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