| Idaho Buckeye Inc | |
|
1537 2nd Ave S Payette ID 83661-2919 | |
| (208) 642-4111 | |
| Not Available |
| Full Name | Idaho Buckeye Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1537 2nd Ave S, Payette, Idaho |
| Authorized Official Name and Position | Dennis Garpetti (DENTIST) |
| Authorized Official Contact | 2083772160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Buckeye Inc 13108 W Persimmon Ln Boise ID 83713-1986 Ph: () - | Idaho Buckeye Inc 1537 2nd Ave S Payette ID 83661-2919 Ph: (208) 642-4111 |
| NPI Number | 1083279087 |
|---|---|
| Provider Enumeration Date | 05/06/2019 |
| Last Update Date | 05/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083279087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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