| Boise Center For Cosmetic Dentistry | |
|
5360 N Eagle Road Suite 101 Boise ID 83713 | |
| (208) 939-7620 | |
| (208) 939-7640 |
| Full Name | Boise Center For Cosmetic Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5360 N Eagle Road Suite 101, Boise, Idaho |
| Authorized Official Name and Position | Cynthia A Mckim (PRACTICE OWNER) |
| Authorized Official Contact | 2089397620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Center For Cosmetic Dentistry 5360 N Eagle Road Suite 101 Boise ID 83713 Ph: (208) 939-7620 | Boise Center For Cosmetic Dentistry 5360 N Eagle Road Suite 101 Boise ID 83713 Ph: (208) 939-7620 |
| NPI Number | 1922161272 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922161272 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3229 (Idaho) | Primary |
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