specializing in dentist in Boise, Idaho

NPI: 1609624139

Provider Type

2

Practice Locations

Mailing Location

PO BOX 2070

SPARKS, NV 89432

Practice Location

2600 W ROSE HILL ST STE 100

BOISE, ID 83705

📞 2083451386

Provider Information

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

Credentials

Primary Credential:
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