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Mcrae Dental Pa
Dental Clinic/Center in Meridian, Idaho
NPI 1184884348

Mcrae Dental Pa is a Dental Clinic/Center based in Meridian, ID and is specialized in Dental. Mcrae Dental Pa practices in Meridian, ID. The NPI Number for Mcrae Dental Pa is 1184884348 and holds a License No. 000673526W (Idaho).

The current practice location address for Mcrae Dental Pa is 1067 S. Wells St., Meridian, ID and can be reached out via phone at 208-895-8486 and via fax at 208-895-8540.

Location: 1067 S. Wells St., Meridian, ID, 83642-7997
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184884348
Provider Name
Mcrae Dental Pa
Credential
Provider Entity Type
Organization
Address
1067 S. Wells St., Meridian, ID, 83642-7997
Phone Number
208-895-8486
Fax Number
208-895-8540
Provider Enumeration Date
06/11/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
805008600 05 ID
institution
Provider Business Practice Location Address Details
Address
1067 S. Wells St.
City
Meridian
State
Idaho
Zip
83642-3561
Phone Number
208-895-8486
Fax Number
208-895-8540
person
Provider Business Mailing Address Details
Address
1067 S. Wells St.
City
Meridian
State
Idaho
Zip
83642-3561
Phone Number
208-895-8486
Fax Number
208-895-8540
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
000673526W (Idaho)
Definition
Definition to come...
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