SOUTHWEST DENTAL ASSOCIATES

BOISE, ID
NPI1124346499
Entity TypeOrganization
Authorized ContactJEFFREY TULLER
Dentist
208-322-5655
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D2065)
Enumeration Date2010-05-12
Last Update Date2010-05-12
Business Address
SOUTHWEST DENTAL ASSOCIATES
1201 S FIVE MILE RD
BOISE, ID 83709-1304
Phone number: 208-322-5655
Mailing Address
SOUTHWEST DENTAL ASSOCIATES
1201 S FIVE MILE RD
BOISE, ID 83709-1304
Phone number: 208-322-5655
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