Idaho Dental Aid, Pllc

NPI #1891921052 in Nampa, Idaho

Provider Information

NPI Number
1891921052
Entity Type
Organization
Organization Name
Idaho Dental Aid, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
Jun 2, 2009
Last Updated
Jun 2, 2009

Practice Location

Address
604 3RD ST S
City
Nampa
State
Idaho
ZIP Code
83651-3840
Phone
(208) 466-9088

Authorized Official

Name
DR. KIM BENSON KELLER, DDS
Title
OWNER
Phone
(208) 466-9088

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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