AVALON DENTAL PC

NPI # 

Practice Address:

672 E Wythe Creek Ct , Ste 101

Kuna, ID, 83634-5216

Practice Phone:

208-629-2800

Practice Fax:

208-629-2801

License Number:

D3875

License State:

ID

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Dental

Taxonomy Code:

261QD0000X