| Boise West Dental Health Llp | |
|
9460 W Franklin Rd Boise ID 83709-0500 | |
| (208) 377-0410 | |
| (208) 377-0444 |
| Full Name | Boise West Dental Health Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9460 W Franklin Rd, Boise, Idaho |
| Authorized Official Name and Position | Fred Brion Lowry (DENTIST) |
| Authorized Official Contact | 2083770410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Boise West Dental Health Llp 9460 W Franklin Rd Boise ID 83709-0500 Ph: (208) 377-0410 | Boise West Dental Health Llp 9460 W Franklin Rd Boise ID 83709-0500 Ph: (208) 377-0410 |
| NPI Number | 1669480711 |
|---|---|
| Provider Enumeration Date | 08/04/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669480711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1566 (Idaho) | Primary |
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