| Smiles 4 Kids Caldwell | |
|
4111 Clock Tower Ave Caldwell ID 83607-5006 | |
| (208) 723-7415 | |
| Not Available |
| Full Name | Smiles 4 Kids Caldwell |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 4111 Clock Tower Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Rhonda Elquist (MANAGER) |
| Authorized Official Contact | 2087600335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles 4 Kids Caldwell 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: () - | Smiles 4 Kids Caldwell 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: (208) 723-7415 |
| NPI Number | 1144661844 |
|---|---|
| Provider Enumeration Date | 07/10/2013 |
| Last Update Date | 07/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144661844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (Idaho) | Primary |
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