TIMES SQUARE DENTAL

BOISE, ID
NPI1942469713
Entity TypeOrganization
Authorized ContactJON R HASTINGS
Dentist
208-343-1981
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D3254)
Enumeration Date2008-06-05
Last Update Date2008-06-05
Business Address
TIMES SQUARE DENTAL
1529 S TIMES SQUARE CRT
BOISE, ID 83709
Phone number: 208-343-1981
Mailing Address
TIMES SQUARE DENTAL
1529 S TIMES SQUARE CRT STE 100
BOISE, ID 83709
Phone number: 208-343-1981
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