Organization · Type 2 NPI
Avalon Dental PC
Dental Clinic/Center · Kuna, ID
NPI number
1962850933
Active
Practice location
672 E Wythe Creek Ct, Ste 101
Kuna, ID 83634-5216
Fax (208) 629-2801
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D3875 (ID) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
Other dental clinic/center providers in Kuna
About NPI 1962850933
Avalon Dental PC's National Provider Identifier is 1962850933, issued on May 31, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Kuna, ID. The record was last updated on May 31, 2016.