NPI 1891967659

Edgewater Dental

Organisation Health Maintenance Organization Nampa, ID

Practice location

Address: 1436 S Edgewater Cir, Nampa, ID 83686
Phone: (208) 463-9600
Fax: (208) 461-3156
Mailing address: 1436 S Edgewater Cir, Nampa, ID 83686-5051

Authorised official

Name: Rhonda Milich
Title: Receptionist
Phone: (208) 463-9600

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence 3315 (ID)

Other Health Maintenance Organization providers in Idaho →

Registry record

NPI: 1891967659
Entity type: Organization
NPI issued: 1 Apr 2008
Record last updated: 1 Apr 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.