| 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 | Clinic/center - Dental |
| Location | 2455 N Milwaukee St, Boise, Idaho |
| Authorized Official Name and Position | Damon Ashley Anderson (OWNER) |
| 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 Po Box 80547666 Sioux Falls SD 57186-0001 Ph: (208) 371-2086 | Damon A. Anderson Dds, Pc 2455 N Milwaukee St Boise ID 83704-5736 Ph: (208) 376-2721 |
| NPI Number | 1295991669 |
|---|---|
| Provider Enumeration Date | 08/05/2008 |
| Last Update Date | 08/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295991669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D-3787 (Idaho) | Primary |
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