ID SPECIALTY DENTAL SERVICES, PLLC

KUNA, ID
NPI1457944167
Other NameSPECIALTY DENTAL BRANDS
Entity TypeOrganization
Authorized ContactCHARLOTTE DASCH
Director Of Operations
504-638-0303
Organization Subpart ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Additional Taxonomies122300000X Dentist
1223P0106X Dentist, Oral and Maxillofacial Pathology
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2021-02-12
Last Update Date2021-02-12
Business Address
ID SPECIALTY DENTAL SERVICES, PLLC
1327 N MERIDIAN RD STE 40
KUNA, ID 83634-1761
Phone number: 208-898-0000
Mailing Address
ID SPECIALTY DENTAL SERVICES, PLLC
401 CHURCH ST STE 1400
NASHVILLE, TN 37219-2214
Phone number: 504-638-0303