Dental Yellow Pages

Dental Yellow Pages

Dentists, Dental Clinics and Practices
Oral Surgery, Dental Specialists

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CSC DENTAL PC

Dental Care Facilities

Meridian, Idaho

Provider NPI: 1447921747

Organization Information:
Organization Name:  CSC DENTAL PC
Organization is not Subpart
Authorized Official:  COLTON  CHARLES  OWNER  541-9081333

Practice Location:
1550 E HERITAGE PARK ST STE 150  MERIDIAN, ID 83646 US
Tel: 208-288-2719  Fax: --

Business Mailing Address:
1550 E HERITAGE PARK ST STE 150  MERIDIAN, ID 83646 US
Tel: 208-288-2719  Fax: --

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QD0000XAmbulatory Health Care Facilities
Clinic/Center
Dental

Other Provider Identifiers:

IssuerNumberStateType
33495ID05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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