Csc Dental PC
Clinic/Center, Dental in Meridian, ID. Organization (NPI-2).
NPI number1447921747
StatusActive
Last updated in NPPESSep 26, 2021
Details
- NPI
- 1447921747
- Entity type
- Organization (NPI-2)
- Legal business name
- Csc Dental PC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2021
- Certification date
- Sep 26, 2021
- Last updated
- Sep 26, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Meridian Pediatric Dentistry (Other Name)
- Happy Campers Pediatric Dental (Other Name)
Practice location
1550 E Heritage Park St Ste 150Meridian, ID 83646-6440
Phone 208-288-2719
Mailing address
1550 E Heritage Park St Ste 150Meridian, ID 83646-6440
Phone 208-288-2719
Authorized official
Colton Charles
Owner
5419081333
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All 15 Dental Clinic/Center providers in Meridian · All 4,112 providers in Meridian
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