| Pamela A. Powell, Dmd, Pa | |
|
120 N 23rd St Boise ID 83702-4940 | |
| (208) 344-2593 | |
| (208) 344-5208 |
| Full Name | Pamela A. Powell, Dmd, Pa |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 120 N 23rd St, Boise, Idaho |
| Authorized Official Name and Position | Pamela A. Powell (OWNER/PRESIDENT) |
| Authorized Official Contact | 2083442593 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela A. Powell, Dmd, Pa 120 N 23rd St Boise ID 83702-4940 Ph: (208) 344-2593 | Pamela A. Powell, Dmd, Pa 120 N 23rd St Boise ID 83702-4940 Ph: (208) 344-2593 |
| NPI Number | 1144653833 |
|---|---|
| Provider Enumeration Date | 08/16/2013 |
| Last Update Date | 08/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144653833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D1819 (Idaho) | Primary |
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