| Parkcenter Smiles Llc | |
|
600 E Riverpark Ln Ste 140 Boise ID 83706-6509 | |
| (208) 841-5038 | |
| Not Available |
| Full Name | Parkcenter Smiles Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 600 E Riverpark Ln Ste 140, Boise, Idaho |
| Authorized Official Name and Position | Roseann Mooney (OWNER) |
| Authorized Official Contact | 2088415038 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkcenter Smiles Llc 2842 S Holden Ln Boise ID 83706-5032 Ph: (208) 841-5038 | Parkcenter Smiles Llc 600 E Riverpark Ln Ste 140 Boise ID 83706-6509 Ph: (208) 841-5038 |
| NPI Number | 1891553483 |
|---|---|
| Provider Enumeration Date | 03/08/2024 |
| Last Update Date | 03/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891553483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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› Verified 8 days ago
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