Atlantis Dental Care, P.a. | |
13238 W Persimmon Ln Ste 100 Boise ID 83713-1968 | |
(208) 938-2468 | |
Not Available |
Full Name | Atlantis Dental Care, P.a. |
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Speciality | Dentist - General Practice |
Location | 13238 W Persimmon Ln Ste 100, Boise, Idaho |
Authorized Official Name and Position | David Lawrence Cantwell (PRESIDENT) |
Authorized Official Contact | 2087038304 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Atlantis Dental Care, P.a. 13238 W Persimmon Ln Ste 100 Boise ID 83713-1968 Ph: (208) 938-2468 | Atlantis Dental Care, P.a. 13238 W Persimmon Ln Ste 100 Boise ID 83713-1968 Ph: (208) 938-2468 |
NPI Number | 1588273635 |
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Provider Enumeration Date | 07/24/2020 |
Last Update Date | 07/24/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1588273635 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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