| Emerald West Family Dentistry | |
|
8850 W Emerald St Ste 150 Boise ID 83704-4809 | |
| (208) 323-2294 | |
| Not Available |
| Full Name | Emerald West Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8850 W Emerald St Ste 150, Boise, Idaho |
| Authorized Official Name and Position | Jason Champagne (OWNER) |
| Authorized Official Contact | 7753593934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald West Family Dentistry Po Box 2070 Sparks NV 89432-2070 Ph: () - | Emerald West Family Dentistry 8850 W Emerald St Ste 150 Boise ID 83704-4809 Ph: (208) 323-2294 |
| NPI Number | 1558119073 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558119073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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