specializing in dentist in Boise, Idaho

NPI: 1194182725

Provider Type

2

Practice Locations

Mailing Location

10162 W FAIRVIEW AVE

BOISE, ID 83704

📞 2083750192

📠 2083787333

Practice Location

10162 W FAIRVIEW AVE

BOISE, ID 83704

📞 2083750192

📠 2083787333

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:1/27/2016
Last Updated:1/27/2016

Credentials

Primary Credential: