IDAHO SMILES ASSOC PLLC

BOISE, ID
NPI1568772028
Entity TypeOrganization
Authorized ContactJEFFREY TULLER
Owner
208-343-7271
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D 2065)
Enumeration Date2010-10-18
Last Update Date2010-10-18
Business Address
IDAHO SMILES ASSOC PLLC
305 W IDAHO ST
BOISE, ID 83702-6040
Phone number: 208-343-7271
Mailing Address
IDAHO SMILES ASSOC PLLC
305 W IDAHO ST
BOISE, ID 83702-6040
Phone number: 208-343-7271
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