specializing in dentist in Boise, Idaho

NPI: 1598466419

Provider Type

2

Practice Locations

Mailing Location

9400 RIVERSIDE DR

BOISE, ID 83714

Practice Location

181 1ST AVENUE N

214

KETCHUM, ID 83340

📞 2088703838

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:3/16/2023
Last Updated:3/16/2023

Credentials

Primary Credential:
null null null - Dentist in Boise, Idaho