| Smiles 4 Kids | |
|
5737 W Fairview Ave Boise ID 83706-1168 | |
| (208) 322-3010 | |
| Not Available |
| Full Name | Smiles 4 Kids |
|---|---|
| Speciality | Dentist |
| Location | 5737 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Riki Lambert (PRACTICE OWNER) |
| Authorized Official Contact | 2089392380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles 4 Kids 5737 W Fairview Ave Boise ID 83706-1168 Ph: (208) 322-3010 | Smiles 4 Kids 5737 W Fairview Ave Boise ID 83706-1168 Ph: (208) 322-3010 |
| NPI Number | 1538563044 |
|---|---|
| Provider Enumeration Date | 10/13/2014 |
| Last Update Date | 11/24/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538563044 | NPI | - | NPPES |
| 1407944390 | Medicaid | ID | |
| 1134229784 | Medicaid | ID | |
| 1164412706 | Medicaid | ID | |
| 1841305646 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4231 (Idaho) | Primary |
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