Idaho Dental Professionals, P.c. | |
6085 N Eagle Rd Boise ID 83713-0997 | |
(208) 938-9912 | |
Not Available |
Full Name | Idaho Dental Professionals, P.c. |
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Speciality | Dentist - General Practice |
Location | 6085 N Eagle Rd, Boise, Idaho |
Authorized Official Name and Position | Tabatha Lemke (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 2175406078 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Idaho Dental Professionals, P.c. 6085 N Eagle Rd Boise ID 83713-0997 Ph: (208) 938-9912 | Idaho Dental Professionals, P.c. 6085 N Eagle Rd Boise ID 83713-0997 Ph: (208) 938-9912 |
NPI Number | 1487230009 |
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Provider Enumeration Date | 03/23/2021 |
Last Update Date | 03/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487230009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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