Organization · Type 2 NPI
Idaho Buckeye Inc
Dental Clinic/Center · Payette, ID
NPI number
1083279087
Active
Practice location
1537 2nd Ave S
Payette, ID 83661-2919
Mailing address
13108 W Persimmon Ln
Boise, ID 83713-1986
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Payette
About NPI 1083279087
Idaho Buckeye Inc's National Provider Identifier is 1083279087, issued on May 6, 2019. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Payette, ID. The record was last updated on May 6, 2019.