| Pearl Dentistry Pc | |
|
4012 Brian Ave Caldwell ID 83605-6305 | |
| (208) 459-4312 | |
| (208) 459-9059 |
| Full Name | Pearl Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 4012 Brian Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Spencer Lloyd (PRESIDENT) |
| Authorized Official Contact | 2084594312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pearl Dentistry Pc 4012 Brian Ave Caldwell ID 83605-6305 Ph: (208) 459-4312 | Pearl Dentistry Pc 4012 Brian Ave Caldwell ID 83605-6305 Ph: (208) 459-4312 |
| NPI Number | 1154581056 |
|---|---|
| Provider Enumeration Date | 06/13/2008 |
| Last Update Date | 12/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154581056 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D3396 (Idaho) | Primary |
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