specializing in dentist in Boise, Idaho

NPI: 1114775640

Provider Type

2

Practice Locations

Mailing Location

PO BOX 2070

SPARKS, NV 89432

Practice Location

5993 W STATE ST STE B

BOISE, ID 83703

📞 2089391700

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:5/9/2024
Last Updated:5/9/2024

Credentials

Primary Credential:
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