IDENTISTRY PLLC

HOMEDALE, ID
NPI1477144038
Entity TypeOrganization
Authorized ContactJARED M MARTIN
CEO
208-869-2243
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center Dental
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
IDENTISTRY PLLC
115 S MAIN ST
HOMEDALE, ID 83628-3415
Phone number: 208-869-2243
Mailing Address
IDENTISTRY PLLC
15111 KINGS ROW RD
CALDWELL, ID 83607-8371
Phone number: 208-869-2243
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