| NPI | 1285328195 |
|---|---|
| Doing Business As | BOISE DENTAL ARTS |
| Entity Type | Organization |
| Authorized Contact | JEREMIAH BROWN President 208-369-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2023-06-05 |
| Last Update Date | 2023-07-18 |