| Horseshoe Bend Family Dentistry Llc | |
|
102 Quinn St Horseshoe Bend ID 83629 | |
| (208) 888-3033 | |
| (208) 888-3393 |
| Full Name | Horseshoe Bend Family Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 102 Quinn St, Horseshoe Bend, Idaho |
| Authorized Official Name and Position | David E Seegmiller (MEMBER) |
| Authorized Official Contact | 2088883033 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Horseshoe Bend Family Dentistry Llc 2201 E Gala St Meridian ID 83642-2798 Ph: (208) 888-3033 | Horseshoe Bend Family Dentistry Llc 102 Quinn St Horseshoe Bend ID 83629 Ph: (208) 888-3033 |
| NPI Number | 1497989867 |
|---|---|
| Provider Enumeration Date | 05/13/2009 |
| Last Update Date | 05/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497989867 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D1983 (Idaho) | Primary |