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1104925064
MILLENNIUM FAMILY DENTAL - BOISE LLC
BOISE, ID
NPI
1104925064
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Entity Type
Organization
Authorized Contact
JENNIFER LYNN VIQUELIA
Office Manager
208-888-2026
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2006-09-21
Last Update Date
2014-12-30
Business Address
MILLENNIUM FAMILY DENTAL - BOISE LLC
813 STILSON RD SUITE B
BOISE, ID 83703
Phone number: 208-342-4644
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Mailing Address
MILLENNIUM FAMILY DENTAL - BOISE LLC
1848 MILLENIUM WAY
MERIDIAN, ID 83642
Phone number: 208-888-2026
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