AUSTIN CREEK DENTAL PC

BOISE, ID
NPI1710299433
Entity TypeOrganization
Authorized ContactTIMOTHY A HANSEN
President
208-938-1825
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: ID  D-3513)
Enumeration Date2010-07-10
Last Update Date2010-07-10
Business Address
AUSTIN CREEK DENTAL PC
4840 N ROSEPOINT WAY STE A
BOISE, ID 83713
Phone number: 208-938-1825
Mailing Address
AUSTIN CREEK DENTAL PC
4840 N ROSEPOINT WAY STE. A.
BOISE, ID 83713
Phone number: 208-938-1825
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