JASON CHAMPAGNE IDAHO 5, PLLC

BOISE, ID
NPI1114775640
Entity TypeOrganization
Authorized ContactJASON CHAMPAGNE
Owner
775-359-3934
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
Enumeration Date2024-05-09
Last Update Date2024-05-09
Business Address
JASON CHAMPAGNE IDAHO 5, PLLC
5993 W STATE ST STE B
BOISE, ID 83703-5058
Phone number: 208-939-1700
Mailing Address
JASON CHAMPAGNE IDAHO 5, PLLC
PO BOX 2070
SPARKS, NV 89432-2070
Phone number:
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