| Idaho Endodontics | |
|
1555 S Timesquare Ln Boise ID 83709-8266 | |
| (208) 672-8860 | |
| Not Available |
| Full Name | Idaho Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 1555 S Timesquare Ln, Boise, Idaho |
| Authorized Official Name and Position | Amanda Maylin (FRONT OFFICE) |
| Authorized Official Contact | 2086728860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Endodontics 1555 S Timesquare Ln Boise ID 83709-8266 Ph: (208) 672-8860 | Idaho Endodontics 1555 S Timesquare Ln Boise ID 83709-8266 Ph: (208) 672-8860 |
| NPI Number | 1710509823 |
|---|---|
| Provider Enumeration Date | 05/12/2020 |
| Last Update Date | 05/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710509823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
News Archive
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