| NPI | 1447481726 |
|---|---|
| Doing Business As | BOISE PERIODONTICS AND IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN SCHENK Owner 208-375-9480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: ID D-4242-PE) |
| Enumeration Date | 2009-08-04 |
| Last Update Date | 2009-08-04 |