PERIODONTAL HEALTH SPECIALISTS OF IDAHO

BOISE, ID
NPI1689077026
Entity TypeOrganization
Authorized ContactRANDY S DEMETTER
Owner/Partner
208-385-9228
Organization Subpart ?No
Primary Taxonomy1223P0300X Dentist Periodontics
Enumeration Date2014-09-30
Last Update Date2023-05-08
Business Address
PERIODONTAL HEALTH SPECIALISTS OF IDAHO
140 E BOISE AVE
BOISE, ID 83706
Phone number: 208-385-9228
Mailing Address
PERIODONTAL HEALTH SPECIALISTS OF IDAHO
140 E BOISE AVE
BOISE, ID 83706
Phone number: 208-385-9228
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