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Todd L Squires Ddc Pllc
Dental Clinic/Center in Nampa, Idaho
NPI 1457593584

Todd L Squires Ddc Pllc is a Dental Clinic/Center based in Nampa, ID and is specialized in Dental. Todd L Squires Ddc Pllc practices in Nampa, ID. The NPI Number for Todd L Squires Ddc Pllc is 1457593584 and holds a License No. (Idaho).

The current practice location address for Todd L Squires Ddc Pllc is 2811 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-466-2458 and via fax at 208-465-6303. You can also correspond with Todd L Squires Ddc Pllc through the mailing address at 2811 12TH AVE RD, NAMPA, ID - 83686 (mailing address contact number: 208-466-2458).

Location: 2811 12Th Ave Rd, Nampa, ID, 83686
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457593584
Provider Name
Todd L Squires Ddc Pllc
Credential
Provider Entity Type
Organization
Address
2811 12Th Ave Rd, Nampa, ID, 83686
Phone Number
208-466-2458
Fax Number
208-465-6303
Provider Enumeration Date
04/06/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1063894145 05 ID
institution
Provider Business Practice Location Address Details
Address
2811 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686
Phone Number
208-466-2458
Fax Number
208-465-6303
person
Provider Business Mailing Address Details
Address
2811 12Th Ave Rd
City
Nampa
State
Idaho
Zip
83686
Phone Number
208-466-2458
Fax Number
208-465-6303
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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