SPROUT PEDIATRIC DENTISTRY,PLLC

BOISE, ID
NPI1114685245
Entity TypeOrganization
Authorized ContactRACHEL MITCHELL
Business Manager
208-467-5100
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Enumeration Date2021-12-06
Last Update Date2021-12-06
Business Address
SPROUT PEDIATRIC DENTISTRY,PLLC
7800 W USTICK RD
BOISE, ID 83704-5848
Phone number: 208-576-6791
Mailing Address
SPROUT PEDIATRIC DENTISTRY,PLLC
7800 W USTICK RD
BOISE, ID 83704-5848
Phone number: 208-576-6791
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