MILLENNIUM FAMILY DENTAL - BOISE LLC

BOISE, ID
NPI1104925064
Entity TypeOrganization
Authorized ContactJENNIFER LYNN VIQUELIA
Office Manager
208-888-2026
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2006-09-21
Last Update Date2014-12-30
Business Address
MILLENNIUM FAMILY DENTAL - BOISE LLC
813 STILSON RD SUITE B
BOISE, ID 83703
Phone number: 208-342-4644
Mailing Address
MILLENNIUM FAMILY DENTAL - BOISE LLC
1848 MILLENIUM WAY
MERIDIAN, ID 83642
Phone number: 208-888-2026
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