Boise Periodontics And Implants | |
1228 N Cole Rd Boise ID 83704-8646 | |
(208) 375-9480 | |
Not Available |
Full Name | Boise Periodontics And Implants |
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Speciality | Dentist - Periodontics |
Location | 1228 N Cole Rd, Boise, Idaho |
Authorized Official Name and Position | Stephen Schenk (OWNER) |
Authorized Official Contact | 2083759480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Boise Periodontics And Implants 1228 N Cole Rd Boise ID 83704-8646 Ph: () - | Boise Periodontics And Implants 1228 N Cole Rd Boise ID 83704-8646 Ph: (208) 375-9480 |
NPI Number | 1447481726 |
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Provider Enumeration Date | 08/04/2009 |
Last Update Date | 08/04/2009 |
Identifier | Type | State | Issuer |
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1447481726 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223P0300X | Dentist - Periodontics | D-4242-PE (Idaho) | Primary |
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