Idaho Dental Aid Pllc

NPI #1912342544 in Nampa, Idaho

Provider Information

NPI Number: 1912342544
Entity Type: Organization
Organization Name: Idaho Dental Aid Pllc
Primary Specialty: Dentist
Enumeration Date: May 9, 2013
Last Updated: Mar 25, 2022

Practice Location

Address: 987 S. RISING SUN DRIVE
Address 2: #101
City: Nampa
State: Idaho
ZIP Code: 83686
Phone: (208) 466-9088

Authorized Official

Name: MADISON LEHMAN
Title: CREDENTIALING SPECIALIST
Phone: (720) 603-4779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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