| Cole Dental | |
|
1166 N Cole Rd Ste A Boise ID 83704-8658 | |
| (208) 377-8383 | |
| (208) 377-1833 |
| Full Name | Cole Dental |
|---|---|
| Speciality | Dentist |
| Location | 1166 N Cole Rd Ste A, Boise, Idaho |
| Authorized Official Name and Position | Stephanie J Mower (OWNER/DENTIST) |
| Authorized Official Contact | 2083778383 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cole Dental 1166 N Cole Rd Ste A Boise ID 83704-8658 Ph: (208) 377-8383 | Cole Dental 1166 N Cole Rd Ste A Boise ID 83704-8658 Ph: (208) 377-8383 |
| NPI Number | 1386057040 |
|---|---|
| Provider Enumeration Date | 06/10/2014 |
| Last Update Date | 06/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386057040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4546 (Idaho) | Primary |
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