Aesthetic Smiles P LLC
Dentist, General Practice in Meridian, ID. Organization (NPI-2).
NPI number1700312907
StatusActive
Last updated in NPPESMay 8, 2017
Details
- NPI
- 1700312907
- Entity type
- Organization (NPI-2)
- Legal business name
- Aesthetic Smiles P LLC
- Organization subpart
- No
- Enumeration date
- May 8, 2017
- Last updated
- May 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D4225 | ID | Yes |
Other names
- Alpine Heights Dentistry (Doing Business As)
Practice location
2015 N Locust Grove RdMeridian, ID 83646-1827
Phone 208-888-1802 · Fax 208-887-3908
Mailing address
2015 N Locust Grove RdMeridian, ID 83646-1827
Phone 208-888-1802 · Fax 208-887-3908
Authorized official
Teresa Lechuga
Office Manager
2088881802
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