| Damon A Anderson, Dds, Pc | |
|
2455 N Milwaukee St Boise ID 83704-5736 | |
| (208) 376-2721 | |
| (208) 376-2756 |
| Full Name | Damon A Anderson, Dds, Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 2455 N Milwaukee St, Boise, Idaho |
| Authorized Official Name and Position | Teresa D Jardine (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 2083762721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Damon A Anderson, Dds, Pc 2455 N Milwaukee St Boise ID 83704-5736 Ph: (208) 376-2721 | Damon A Anderson, Dds, Pc 2455 N Milwaukee St Boise ID 83704-5736 Ph: (208) 376-2721 |
| NPI Number | 1275724304 |
|---|---|
| Provider Enumeration Date | 08/05/2007 |
| Last Update Date | 08/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275724304 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3787 (Idaho) | Primary |
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