| Dentists Of Boise And Orthodontics | |
|
7500 W State St Ste 110 Boise ID 83714-6074 | |
| (208) 258-7740 | |
| (208) 350-6895 |
| Full Name | Dentists Of Boise And Orthodontics |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7500 W State St Ste 110, Boise, Idaho |
| Authorized Official Name and Position | Kevin Johnson (OWNER) |
| Authorized Official Contact | 2082587740 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentists Of Boise And Orthodontics Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8890 | Dentists Of Boise And Orthodontics 7500 W State St Ste 110 Boise ID 83714-6074 Ph: (208) 258-7740 |
| NPI Number | 1235747338 |
|---|---|
| Provider Enumeration Date | 07/15/2020 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235747338 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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