JASON CHAMPAGNE IDAHO 4, PLLC

BOISE, ID
NPI1508614033
Doing Business AsBLUE HERON DENTAL
Entity TypeOrganization
Authorized ContactJASON CHAMPAGNE
Owner
775-359-3934
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2024-05-09
Last Update Date2024-05-09
Business Address
JASON CHAMPAGNE IDAHO 4, PLLC
345 W BOBWHITE CT
BOISE, ID 83706-3982
Phone number: 208-345-1383
Mailing Address
JASON CHAMPAGNE IDAHO 4, PLLC
PO BOX 2070
SPARKS, NV 89432-2070
Phone number: