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1407361769
DOWNTOWN DENTAL PLLC
BOISE, ID
NPI
1407361769
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Entity Type
Organization
Authorized Contact
RYAN KOWALCZYK
Dentist
208-342-5444
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
(Licence: ID D-3689)
Enumeration Date
2017-12-08
Last Update Date
2023-12-06
Business Address
DOWNTOWN DENTAL PLLC
1625 W BANNOCK ST
BOISE, ID 83702-5155
Phone number: 208-342-5444
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Mailing Address
DOWNTOWN DENTAL PLLC
1625 W BANNOCK ST
BOISE, ID 83702-5155
Phone number: 208-342-5444
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