specializing in dentist in Boise, Idaho

NPI: 1629449269

Provider Type

2

Practice Locations

Mailing Location

210 W MALLARD DR

SUITE E

BOISE, ID 83706

📞 2083448363

Practice Location

210 W MALLARD DR

SUITE E

BOISE, ID 83706

📞 2083448363

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/8/2015
Last Updated:10/8/2015

Credentials

Primary Credential:
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