EAST BOISE DENTAL

BOISE, ID
NPI1194010272
Entity TypeOrganization
Authorized ContactTODD BROYLES
Owner
208-368-0500
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D4068)
Enumeration Date2011-06-16
Last Update Date2011-06-16
Business Address
EAST BOISE DENTAL
150 E BOISE AVE
BOISE, ID 83706-4379
Phone number: 208-368-0500
Mailing Address
EAST BOISE DENTAL
150 E BOISE AVE
BOISE, ID 83706-4379
Phone number: 208-368-0500