| Emerald Smiles Dentistry, Pc | |
|
675 N Milwaukee St Ste 110 Boise ID 83704-9185 | |
| (208) 593-3221 | |
| Not Available |
| Full Name | Emerald Smiles Dentistry, Pc |
|---|---|
| Speciality | Dentist |
| Location | 675 N Milwaukee St Ste 110, Boise, Idaho |
| Authorized Official Name and Position | Kenneth C Benson (OWNER) |
| Authorized Official Contact | 2085933221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Smiles Dentistry, Pc Po Box 920050 Dallas TX 75392-0050 Ph: () - | Emerald Smiles Dentistry, Pc 675 N Milwaukee St Ste 110 Boise ID 83704-9185 Ph: (208) 593-3221 |
| NPI Number | 1023746294 |
|---|---|
| Provider Enumeration Date | 08/15/2022 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023746294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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