SPARTAN DENTAL COMPANY, LLC

MOUNTAIN HOME, ID
NPI1932910114
Entity TypeOrganization
Authorized ContactDAVID ROBERT BORGHOLTHAUS
Manager
208-590-0966
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2025-01-16
Last Update Date2025-01-16
Business Address
SPARTAN DENTAL COMPANY, LLC
925 W AIRBASE RD
MOUNTAIN HOME, ID 83647-3319
Phone number: 208-590-0966
Mailing Address
SPARTAN DENTAL COMPANY, LLC
925 W AIRBASE RD
MOUNTAIN HOME, ID 83647-3319
Phone number: 208-590-0966
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