| Aesthetic Smiles | |
|
4795 N Summit Way Ste 120 Meridian ID 83646-5017 | |
| (208) 888-0662 | |
| (208) 888-0863 |
| Full Name | Aesthetic Smiles |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4795 N Summit Way Ste 120, Meridian, Idaho |
| Authorized Official Name and Position | Wade Austen Pilling (DENTIST) |
| Authorized Official Contact | 2088880662 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Smiles 4795 N Summit Way Ste 120 Meridian ID 83646-5017 Ph: (208) 888-0662 | Aesthetic Smiles 4795 N Summit Way Ste 120 Meridian ID 83646-5017 Ph: (208) 888-0662 |
| NPI Number | 1164684312 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 05/01/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164684312 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3877 (Idaho) | Primary |
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