South Boise Dentistry Co. | |
10233 W Overland Rd Boise ID 83709-1430 | |
(208) 323-4700 | |
Not Available |
Full Name | South Boise Dentistry Co. |
---|---|
Speciality | Clinic/center - Dental |
Location | 10233 W Overland Rd, Boise, Idaho |
Authorized Official Name and Position | Zachary Taylor (OWNER) |
Authorized Official Contact | 8017924291 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
South Boise Dentistry Co. 10233 W Overland Rd Boise ID 83709-1430 Ph: (208) 323-4700 | South Boise Dentistry Co. 10233 W Overland Rd Boise ID 83709-1430 Ph: (208) 323-4700 |
NPI Number | 1407560725 |
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Provider Enumeration Date | 01/11/2023 |
Last Update Date | 01/11/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407560725 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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