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Csc Dental Pc
Dental Clinic/Center in Meridian, Idaho
NPI 1447921747

Csc Dental Pc is a Dental Clinic/Center based in Meridian, ID and is specialized in Dental. Csc Dental Pc practices in Meridian, ID. The NPI Number for Csc Dental Pc is 1447921747 and holds a License No. (Idaho).

The current practice location address for Csc Dental Pc is 1550 E Heritage Park St Ste 150, Meridian, ID and can be reached out via phone at 208-288-2719.

Location: 1550 E Heritage Park St Ste 150, Meridian, ID, 83646-6440
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1447921747
Provider Name
Csc Dental Pc
Credential
Provider Entity Type
Organization
Address
1550 E Heritage Park St Ste 150, Meridian, ID, 83646-6440
Phone Number
208-288-2719
Fax Number
Provider Enumeration Date
09/26/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
33495 05 ID
institution
Provider Business Practice Location Address Details
Address
1550 E Heritage Park St Ste 150
City
Meridian
State
Idaho
Zip
83646-6440
Phone Number
208-288-2719
Fax Number
person
Provider Business Mailing Address Details
Address
1550 E Heritage Park St Ste 150
City
Meridian
State
Idaho
Zip
83646-6440
Phone Number
208-288-2719
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
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Definition
Definition to come...
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