BLUE HERON DENTAL

BOISE, ID
NPI1659977619
Entity TypeOrganization
Authorized ContactCHAD DALLAS HESS
Owner
208-870-3838
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-12-07
Last Update Date2020-12-07
Business Address
BLUE HERON DENTAL
345 W BOBWHITE CT
BOISE, ID 83706-3982
Phone number: 208-345-1383
Mailing Address
BLUE HERON DENTAL
345 W BOBWHITE CT
BOISE, ID 83706-3982
Phone number: 208-345-1383
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