HAYDEN LAKE FAMILY DENTAL PLLC

HAYDEN, ID
NPI1942046651
Entity TypeOrganization
Authorized ContactCHASE DAVIS
Member
480-917-8400
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2024-07-02
Last Update Date2024-07-02
Business Address
HAYDEN LAKE FAMILY DENTAL PLLC
8636 N WAYNE DR
HAYDEN, ID 83835-5084
Phone number: 208-762-1555
Mailing Address
HAYDEN LAKE FAMILY DENTAL PLLC
3010 E FRUITVALE AVE
GILBERT, AZ 85297-5261
Phone number: 480-341-0095