specializing in dentist in Boise, Idaho

NPI: 1023746294

Provider Type

2

Practice Locations

Mailing Location

PO BOX 920050

DALLAS, TX 75392

Practice Location

675 N MILWAUKEE ST STE 110

BOISE, ID 83704

📞 2085933221

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/15/2022
Last Updated:8/15/2022

Credentials

Primary Credential:
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