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Kadeesh McNaught

Dental Assistant in Mountain Home Afb, ID. Individual provider (NPI-1).

NPI number1639725286
StatusActive
Last updated in NPPESAug 9, 2019

Details

NPI
1639725286
Entity type
Individual (NPI-1)
Name
Kadeesh McNaught
Sex
Female
Sole proprietor
No
Enumeration date
Aug 9, 2019
Last updated
Aug 9, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
126800000X Dental Assistant––Yes

Practice location

90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062

Phone 208-828-7300

Mailing address

90 Hope Dr Bldg 6000
Mountain Home Afb, ID 83648-1062

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