| Andrea S Radabaugh Dds Pllc | |
|
420 Division Ave Craigmont ID 83523 | |
| (208) 924-5830 | |
| Not Available |
| Full Name | Andrea S Radabaugh Dds Pllc |
|---|---|
| Speciality | Dentist |
| Location | 420 Division Ave, Craigmont, Idaho |
| Authorized Official Name and Position | Andrea S Radabaugh (OWNER DENTIST) |
| Authorized Official Contact | 5303337853 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea S Radabaugh Dds Pllc Po Box 218 Craigmont ID 83523-0218 Ph: (530) 333-7853 | Andrea S Radabaugh Dds Pllc 420 Division Ave Craigmont ID 83523 Ph: (208) 924-5830 |
| NPI Number | 1811281397 |
|---|---|
| Provider Enumeration Date | 06/02/2011 |
| Last Update Date | 06/21/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811281397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4296 (Idaho) | Primary |