specializing in dentist in Boise, Idaho

NPI: 1700503133

Provider Type

2

Practice Locations

Mailing Location

136 E MALLARD DR

BOISE, ID 83706

📞 2085005437

📠 2089086178

Practice Location

136 E MALLARD DR

BOISE, ID 83706

📞 2085005437

📠 2089086178

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/26/2022
Last Updated:10/26/2022

Credentials

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