| Boise Green Tree Dental Llc | |
|
2600 W Rose Hill St Ste 100 Boise ID 83705-5900 | |
| (208) 345-1386 | |
| Not Available |
| Full Name | Boise Green Tree Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2600 W Rose Hill St Ste 100, Boise, Idaho |
| Authorized Official Name and Position | Chad Hess (OWNER) |
| Authorized Official Contact | 2088703838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Green Tree Dental Llc 2600 W Rose Hill St Ste 100 Boise ID 83705-5900 Ph: (208) 345-1386 | Boise Green Tree Dental Llc 2600 W Rose Hill St Ste 100 Boise ID 83705-5900 Ph: (208) 345-1386 |
| NPI Number | 1477278695 |
|---|---|
| Provider Enumeration Date | 10/10/2022 |
| Last Update Date | 10/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477278695 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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