IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY

BOISE, ID
NPI1194175232
Entity TypeOrganization
Authorized ContactJACE C. HANSEN
Owner
208-377-2777
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist, Periodontics
(Licence: ID  D-4290)
Enumeration Date2016-06-20
Last Update Date2016-06-20
Business Address
IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY
6019 N EAGLE RD
BOISE, ID 83713-0997
Phone number: 208-377-2777
Mailing Address
IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY
6019 N EAGLE RD
BOISE, ID 83713-0997
Phone number: 208-377-2777
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