IDAHO DENTAL PROFESSIONALS, P.C.

BOISE, ID
NPI1114532645
Entity TypeOrganization
Authorized ContactTABATHA LEMKE
Credentialing COO Rdinator
217-540-6078
Organization Subpart ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2020-09-11
Last Update Date2020-09-11
Business Address
IDAHO DENTAL PROFESSIONALS, P.C.
2803 N BOGUS BASIN RD
BOISE, ID 83702-0913
Phone number: 208-343-1393
Mailing Address
IDAHO DENTAL PROFESSIONALS, P.C.
2803 N BOGUS BASIN RD
BOISE, ID 83702-0913
Phone number:
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