Chubbuck Kidz Dental PC
NPI #1801679287 in Chubbuck, Idaho
Provider Information
- NPI Number
- 1801679287
- Entity Type
- Organization
- Organization Name
- Chubbuck Kidz Dental PC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Aug 17, 2023
- Last Updated
- Aug 18, 2023
Practice Location
Authorized Official
- Name
- MAGDALENA EVANS
- Title
- SR. CREDENTIALING SPECIALIST
- Phone
- (720) 272-7558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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