| Boise Valley Orthodontics Pllc | |
|
4111 Clock Tower Ave Caldwell ID 83607-5006 | |
| (208) 649-5721 | |
| Not Available |
| Full Name | Boise Valley Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4111 Clock Tower Ave, Caldwell, Idaho |
| Authorized Official Name and Position | Brendon James Swenson (MANAGER) |
| Authorized Official Contact | 2086495721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise Valley Orthodontics Pllc 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: () - | Boise Valley Orthodontics Pllc 4111 Clock Tower Ave Caldwell ID 83607-5006 Ph: (208) 649-5721 |
| NPI Number | 1215395025 |
|---|---|
| Provider Enumeration Date | 02/08/2016 |
| Last Update Date | 02/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215395025 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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