NPI 1659530103

Idaho Pediatric Dentistry

Organisation Special Hospital Nampa, ID

Practice location

Address: 4401 E Flamingo Ave, Nampa, ID 83687-3113
Phone: (208) 461-5459

Authorised official

Name: Kathi a Nelson
Title: Office Manager
Phone: (208) 461-5459

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence D3936PD (ID)

Other Special Hospital providers in Idaho →

Registry record

NPI: 1659530103
Entity type: Organization
NPI issued: 9 Jun 2008
Record last updated: 9 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.