Tree City Family Dental | |
7301 W. Emerald St Ste. 102 Boise ID 83704 | |
(208) 286-2699 | |
(208) 350-6526 |
Full Name | Tree City Family Dental |
---|---|
Speciality | Dentist |
Location | 7301 W. Emerald St Ste. 102, Boise, Idaho |
Authorized Official Name and Position | Dustin Connaughton (DENTIST/OWNER) |
Authorized Official Contact | 2082862699 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Tree City Family Dental 7301 W. Emerald St Ste. 102 Boise ID 83704 Ph: (208) 286-2699 | Tree City Family Dental 7301 W. Emerald St Ste. 102 Boise ID 83704 Ph: (208) 286-2699 |
NPI Number | 1891304002 |
---|---|
Provider Enumeration Date | 07/24/2020 |
Last Update Date | 07/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891304002 | NPI | - | NPPES |
9200495 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
News Archive
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