Boise Green Tree Dental Llc | |
2600 W Rose Hill St Ste 100 Boise ID 83705-5900 | |
(208) 345-1386 | |
Not Available |
Full Name | Boise Green Tree Dental Llc |
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Speciality | Clinic/center - Dental |
Location | 2600 W Rose Hill St Ste 100, Boise, Idaho |
Authorized Official Name and Position | Chad Hess (OWNER) |
Authorized Official Contact | 2088703838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boise Green Tree Dental Llc 2600 W Rose Hill St Ste 100 Boise ID 83705-5900 Ph: (208) 345-1386 | Boise Green Tree Dental Llc 2600 W Rose Hill St Ste 100 Boise ID 83705-5900 Ph: (208) 345-1386 |
NPI Number | 1477278695 |
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Provider Enumeration Date | 10/10/2022 |
Last Update Date | 10/10/2022 |
Identifier | Type | State | Issuer |
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1477278695 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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