| Boise Caring Dentistry, P.c. | |
|
5630 N Eagle Rd Suite 101 Boise ID 83713-4901 | |
| (208) 939-7620 | |
| (208) 939-7640 |
| Full Name | Boise Caring Dentistry, P.c. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 5630 N Eagle Rd, Boise, Idaho |
| Authorized Official Name and Position | Veronica Montgomery (PRESIDENT) |
| Authorized Official Contact | 2089397620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Caring Dentistry, P.c. 5630 N Eagle Rd Suite 101 Boise ID 83713-4901 Ph: (208) 939-7620 | Boise Caring Dentistry, P.c. 5630 N Eagle Rd Suite 101 Boise ID 83713-4901 Ph: (208) 939-7620 |
| NPI Number | 1487046363 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487046363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-4631 (Idaho) | Primary |
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