| Aesthetic Dental Arts | |
|
8590 W Fairview Ave Boise ID 83704-8320 | |
| (208) 891-6596 | |
| Not Available |
| Full Name | Aesthetic Dental Arts |
|---|---|
| Speciality | Dentist |
| Location | 8590 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | Jerzy Wozniak (PRESIDENT) |
| Authorized Official Contact | 2088916596 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aesthetic Dental Arts 8590 W Fairview Ave Boise ID 83704-8320 Ph: (208) 891-6596 | Aesthetic Dental Arts 8590 W Fairview Ave Boise ID 83704-8320 Ph: (208) 891-6596 |
| NPI Number | 1316297856 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 09/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316297856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D-4278 (Idaho) | Primary |
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