| Summit Kids Dental | |
|
151 W 3rd Ave Unit 102 Post Falls ID 83854-4038 | |
| (208) 618-8878 | |
| (208) 618-8879 |
| Full Name | Summit Kids Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 151 W 3rd Ave Unit 102, Post Falls, Idaho |
| Authorized Official Name and Position | Marc Soelberg (OWNER) |
| Authorized Official Contact | 2086188878 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Kids Dental 151 W 3rd Ave Unit 102 Post Falls ID 83854-4038 | Summit Kids Dental 151 W 3rd Ave Unit 102 Post Falls ID 83854-4038 Ph: (208) 618-8878 |
| NPI Number | 1033896337 |
|---|---|
| Provider Enumeration Date | 06/29/2023 |
| Last Update Date | 06/29/2023 |
| Certification Date | 05/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033896337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | () | Primary |
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