| Idaho Smiles Assoc. Plls | |
|
305 W Idaho St Boise ID 83702-6040 | |
| (208) 343-7271 | |
| Not Available |
| Full Name | Idaho Smiles Assoc. Plls |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 305 W Idaho St, Boise, Idaho |
| Authorized Official Name and Position | Jeff Tuller (OWNER/DENTIST) |
| Authorized Official Contact | 2083437271 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaho Smiles Assoc. Plls 305 W Idaho St Boise ID 83702-6040 Ph: (208) 343-7271 | Idaho Smiles Assoc. Plls 305 W Idaho St Boise ID 83702-6040 Ph: (208) 343-7271 |
| NPI Number | 1003116542 |
|---|---|
| Provider Enumeration Date | 11/01/2010 |
| Last Update Date | 11/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003116542 | NPI | - | NPPES |
| 1285641589 | Other | ID | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-2065 (Idaho) | Primary |
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