specializing in dentist in Boise, Idaho

NPI: 1326524851

Provider Type

2

Practice Locations

Mailing Location

8119 W USTICK RD STE 103

BOISE, ID 83704

📞 2083763600

📠 2083763616

Practice Location

6287 S REDWOOD RD STE 101

SALT LAKE CITY, UT 84123

📞 2083763600

📠 2083763616

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:7/18/2018
Last Updated:6/16/2020

Credentials

Primary Credential:
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