Cherry Lane Kids Dentistry
Cherry Lane Kids Dentistry provides Pediatric Dentistry in Meridian, Idaho. Licensed in Idaho. Registered with an NPI since 2017.
- Licensed in
- ID
- In the registry since
- 2017
Practice location Address checks out
1558 N Crestmont Dr Ste AMeridian, ID 83642-2194
Phone: (208) 580-7091
Fax: (208) 587-2624
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Dentistry (primary) | Taxonomy 1223P0221X · Licence D-4186-PD (ID) |
|---|
Record details
| NPI number | 1902325749 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rhonda Elquist — Regional Operations Manager · (208) 580-7091 |
| NPI enumerated | September 13, 2017 |
| Last updated in NPPES | September 13, 2017 |
| Mailing address | 121 Mountain View Dr, Nampa, ID 83686-8867 |
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