| High Desert Dental | |
|
12212 W Amity Rd Boise ID 83709-5389 | |
| (208) 343-4732 | |
| (208) 343-3818 |
| Full Name | High Desert Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 12212 W Amity Rd, Boise, Idaho |
| Authorized Official Name and Position | Janet D Hefner (OFFICE MANAGER) |
| Authorized Official Contact | 2083434732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Dental 12212 W Amity Rd Boise ID 83709-5389 Ph: (208) 343-4732 | High Desert Dental 12212 W Amity Rd Boise ID 83709-5389 Ph: (208) 343-4732 |
| NPI Number | 1841450889 |
|---|---|
| Provider Enumeration Date | 06/12/2008 |
| Last Update Date | 06/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841450889 | NPI | - | NPPES |
| 1447343488 | Other | ID | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D3413 (Idaho) | Primary |
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