institution
Identistry Pllc
Dental Clinic/Center in Homedale, Idaho
NPI 1477144038

Identistry Pllc is a Dental Clinic/Center based in Caldwell, ID and is specialized in Dental. Identistry Pllc practices in Homedale, ID. The NPI Number for Identistry Pllc is 1477144038 and holds a License No. (Idaho).

The current practice location address for Identistry Pllc is 115 S Main St, Homedale, ID and can be reached out via phone at 208-869-2243.

Location: 115 S Main St, Homedale, ID, 83607-8371
institution
Provider Profile Details
NPI Number
1477144038
Provider Name
Identistry Pllc
Credential
Provider Entity Type
Organization
Address
115 S Main St, Homedale, ID, 83607-8371
Phone Number
208-869-2243
Fax Number
Provider Enumeration Date
01/27/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
115 S Main St
City
State
Zip
83628-3415
Phone Number
208-869-2243
Fax Number
person
Provider Business Mailing Address Details
Address
115 S Main St
City
State
Zip
83628-3415
Phone Number
208-869-2243
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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