Smiles for Idaho

NPI #1992520431 in Caldwell, Idaho

Provider Information

NPI Number: 1992520431
Entity Type: Organization
Organization Name: Smiles for Idaho
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Nov 19, 2024
Last Updated: Nov 19, 2024

Practice Location

Address: 22351 AURA VISTA WAY
City: Caldwell
State: Idaho
ZIP Code: 83607-5528
Phone: (801) 390-1228

Authorized Official

Name: AMANDA CHRISTENSEN
Title: OWNER
Phone: (801) 390-1228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Hygienist	124Q00000X
Clinic/Center - Dental — Dental	261QD0000X	Primary

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