IDEAL DENTAL
Organization (NPI-2)
Active
Dentist, General Practice
Provider Information
- NPI Number
1073891461- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 329 E LOGAN ST, CALDWELL, ID, 836054863
- Phone
- (208) 459-3388
- Fax
- (208) 453-9295
Specialties & Taxonomies
Dentist, General Practice
Primary License: ID #D3896