| NPI | 1255373064 |
|---|---|
| Doing Business As | DR MICHAEL BOEHM ADVANCED COSMETIC & FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD BOEHM Dentist 208-773-5505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D3669) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-06-02 |