| Boise Dental Center | |
|
801 N 10th St Boise ID 83702 | |
| (208) 343-4986 | |
| (208) 343-4995 |
| Full Name | Boise Dental Center |
|---|---|
| Speciality | Dentist |
| Location | 801 N 10th St, Boise, Idaho |
| Authorized Official Name and Position | Michael E Smith (OWNER) |
| Authorized Official Contact | 2083434986 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Dental Center 801 N 10th St Boise ID 83702 Ph: (208) 343-4986 | Boise Dental Center 801 N 10th St Boise ID 83702 Ph: (208) 343-4986 |
| NPI Number | 1538279450 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538279450 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 1544 (Idaho) | Primary |
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Treasure Valley Oral And Facial Surgery Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 Phone: 208-343-0909 Fax: 208-343-6282 | |
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