| NPI | 1336340785 |
|---|---|
| Doing Business As | BOISE INTEGRATIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JUNE ALICE JUHNKE Office Manager 208-336-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: ID D1626) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2022-09-21 |