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Rainbow Dental Clinic Llc
General Practice Dentistry in Kellogg, Idaho
NPI 1356763122

Rainbow Dental Clinic Llc is a General Practice Dentistry based in Kellogg, ID and is specialized in General Practice. Rainbow Dental Clinic Llc practices in Kellogg, ID. The NPI Number for Rainbow Dental Clinic Llc is 1356763122 and holds a License No. D1923 (Idaho).

The current practice location address for Rainbow Dental Clinic Llc is 418 W Cameron Ave, Kellogg, ID and can be reached out via phone at 208-784-5801 and via fax at 208-783-6011.

Location: 418 W Cameron Ave, Kellogg, ID, 83837-2111
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1356763122
Provider Name
Rainbow Dental Clinic Llc
Credential
Provider Entity Type
Organization
Address
418 W Cameron Ave, Kellogg, ID, 83837-2111
Phone Number
208-784-5801
Fax Number
208-783-6011
Provider Enumeration Date
01/14/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1396810255 01 INDIVIDUAL NPI
institution
Provider Business Practice Location Address Details
Address
418 W Cameron Ave
City
Kellogg
State
Idaho
Zip
83837-2111
Phone Number
208-784-5801
Fax Number
208-783-6011
person
Provider Business Mailing Address Details
Address
418 W Cameron Ave
City
Kellogg
State
Idaho
Zip
83837-2111
Phone Number
208-784-5801
Fax Number
208-783-6011
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
D1923 (Idaho)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
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