CHERRY LANE KIDS DENTISTRY
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1902325749- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 1558 N CRESTMONT DR STE A, MERIDIAN, ID, 836422194
- Phone
- (208) 580-7091
- Fax
- (208) 587-2624
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Primary License: ID #d-4186-pd