| Riverview Dental Pllc | |
|
1175 E Parkcenter Blvd Ste 101 Boise ID 83706-6752 | |
| (208) 888-5544 | |
| Not Available |
| Full Name | Riverview Dental Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1175 E Parkcenter Blvd Ste 101, Boise, Idaho |
| Authorized Official Name and Position | Quinn Brown (OWNER) |
| Authorized Official Contact | 2085715678 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverview Dental Pllc 1175 E Parkcenter Blvd Ste 101 Boise ID 83706-6752 Ph: (208) 888-5544 | Riverview Dental Pllc 1175 E Parkcenter Blvd Ste 101 Boise ID 83706-6752 Ph: (208) 888-5544 |
| NPI Number | 1942919139 |
|---|---|
| Provider Enumeration Date | 11/16/2022 |
| Last Update Date | 11/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942919139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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