Avalon Dental PC

NPI #1962850933 in Kuna, Idaho

Provider Information

NPI Number: 1962850933
Entity Type: Organization
Organization Name: Avalon Dental PC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: May 31, 2016
Last Updated: May 31, 2016

Practice Location

Address: 672 E WYTHE CREEK CT
Address 2: STE 101
City: Kuna
State: Idaho
ZIP Code: 83634-5216
Phone: (208) 629-2800

Authorized Official

Name: DR. JAMES D. GRANT, DMD
Title: OWNER
Phone: (208) 629-2800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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