Edgewater Dental

NPI #1891967659 in Nampa, Idaho

Provider Information

NPI Number
1891967659
Entity Type
Organization
Organization Name
Edgewater Dental
Primary Specialty
Health Maintenance Organization
Enumeration Date
Apr 1, 2008
Last Updated
Apr 1, 2008

Practice Location

Address
1436 S EDGEWATER CIR
City
Nampa
State
Idaho
ZIP Code
83686
Phone
(208) 463-9600

Authorized Official

Name
RHONDA MILICH
Title
RECEPTIONIST
Phone
(208) 463-9600

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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