ID SPECIALTY DENTAL SERVICES, PLLC

MERIDIAN, ID
NPI1609632710
Doing Business AsGUYMON ORTHODONTICS
Entity TypeOrganization
Authorized ContactCHARLOTTE DASCH
Director Of Credentialing & Pr
504-638-0303
Organization Subpart ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2024-02-26
Last Update Date2024-02-26
Business Address
ID SPECIALTY DENTAL SERVICES, PLLC
1200 W CHERRY LN
MERIDIAN, ID 83642-4930
Phone number: 208-898-9000
Mailing Address
ID SPECIALTY DENTAL SERVICES, PLLC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: 615-678-0759