Patrick L Waite Dds, PC

NPI #1558806315 in Caldwell, Idaho

Provider Information

NPI Number: 1558806315
Entity Type: Organization
Organization Name: Patrick L Waite Dds, PC
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2017
Last Updated: Jan 3, 2017

Practice Location

Address: 4105 CLOCK TOWER AVE
City: Caldwell
State: Idaho
ZIP Code: 83607-5006
Phone: (208) 455-0022

Authorized Official

Name: PATRICK L WAITE, DDS
Title: DENTIST
Phone: (208) 455-0022

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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