ID SDS II PLLC

BOISE, ID
NPI1538909379
Entity TypeOrganization
Authorized ContactCHARLOTTE V DASCH
Director Of Credentialing
504-638-0303
Organization Subpart ?Yes
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
Enumeration Date2024-05-29
Last Update Date2025-03-03
Business Address
ID SDS II PLLC
1541 S TIMESQUARE LN
BOISE, ID 83709-8266
Phone number: 208-321-7006
Mailing Address
ID SDS II PLLC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: 615-678-0759