| Southwest Dental Arts | |
|
1201 S Five Mile Rd Boise ID 83709-1304 | |
| (208) 322-5655 | |
| Not Available |
| Full Name | Southwest Dental Arts |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1201 S Five Mile Rd, Boise, Idaho |
| Authorized Official Name and Position | Helen Harless (DENTIST/OWNER) |
| Authorized Official Contact | 2145876165 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southwest Dental Arts 1201 S Five Mile Rd Boise ID 83709-1304 Ph: (208) 322-5655 | Southwest Dental Arts 1201 S Five Mile Rd Boise ID 83709-1304 Ph: (208) 322-5655 |
| NPI Number | 1629371026 |
|---|---|
| Provider Enumeration Date | 12/07/2010 |
| Last Update Date | 10/19/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629371026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | D4304 (Idaho) | Primary |
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