specializing in dentist in Boise, Idaho

NPI: 1235747338

Provider Type

2

Practice Locations

Mailing Location

PO BOX 920050

DALLAS, TX 75392

📞 7148458890

📠 3038520892

Practice Location

7500 W STATE ST STE 110

BOISE, ID 83714

📞 2082587740

📠 2083506895

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/15/2020
Last Updated:8/5/2022

Credentials

Primary Credential:
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