| Emerald West Family Dentistry | |
|
8850 W Emerald St #150 Boise ID 83704-4808 | |
| (208) 323-2294 | |
| (208) 323-2299 |
| Full Name | Emerald West Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 8850 W Emerald St, Boise, Idaho |
| Authorized Official Name and Position | Jayne Blazek (OFFICE MANAGER) |
| Authorized Official Contact | 2083232294 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald West Family Dentistry 8850 W Emerald St #150 Boise ID 83704-4808 Ph: (208) 323-2294 | Emerald West Family Dentistry 8850 W Emerald St #150 Boise ID 83704-4808 Ph: (208) 323-2294 |
| NPI Number | 1639238124 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639238124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (Idaho) | Primary |
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