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 |