institution
Avalon Dental Pc
Dental Clinic/Center in Kuna, Idaho
NPI 1962850933

Avalon Dental Pc is a Dental Clinic/Center based in Kuna, ID and is specialized in Dental. Avalon Dental Pc practices in Kuna, ID. The NPI Number for Avalon Dental Pc is 1962850933 and holds a License No. D3875 (Idaho).

The current practice location address for Avalon Dental Pc is 672 E Wythe Creek Ct, Kuna, ID and can be reached out via phone at 208-629-2800 and via fax at 208-629-2801.

Location: 672 E Wythe Creek Ct, Kuna, ID, 83634-5216
institution
Provider Profile Details
NPI Number
1962850933
Provider Name
Avalon Dental Pc
Credential
Provider Entity Type
Organization
Address
672 E Wythe Creek Ct, Kuna, ID, 83634-5216
Phone Number
208-629-2800
Fax Number
208-629-2801
Provider Enumeration Date
05/31/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1447345491 01 ID INDIVIDUAL PROVIDER
institution
Provider Business Practice Location Address Details
Address
672 E Wythe Creek Ct
City
State
Zip
83634-5216
Phone Number
208-629-2800
Fax Number
208-629-2801
person
Provider Business Mailing Address Details
Address
672 E Wythe Creek Ct
City
State
Zip
83634-5216
Phone Number
208-629-2800
Fax Number
208-629-2801
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
D3875 (Idaho)
Definition
Definition to come...
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