| Atlantis Dental Care, P.a. | |
|
13238 W Persimmon Ln Ste 100 Boise ID 83713-1968 | |
| (208) 938-2468 | |
| Not Available |
| Full Name | Atlantis Dental Care, P.a. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13238 W Persimmon Ln Ste 100, Boise, Idaho |
| Authorized Official Name and Position | David Lawrence Cantwell (PRESIDENT) |
| Authorized Official Contact | 2087038304 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantis Dental Care, P.a. 13238 W Persimmon Ln Ste 100 Boise ID 83713-1968 Ph: (208) 938-2468 | Atlantis Dental Care, P.a. 13238 W Persimmon Ln Ste 100 Boise ID 83713-1968 Ph: (208) 938-2468 |
| NPI Number | 1588273635 |
|---|---|
| Provider Enumeration Date | 07/24/2020 |
| Last Update Date | 07/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588273635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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