| James A. Gorczyca Dds Pa | |
|
144 E Mallard Dr Boise ID 83706-3975 | |
| (208) 342-0315 | |
| Not Available |
| Full Name | James A. Gorczyca Dds Pa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 144 E Mallard Dr, Boise, Idaho |
| Authorized Official Name and Position | Shelley Fannin (ACCOUNTS MANAGER) |
| Authorized Official Contact | 2083420315 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James A. Gorczyca Dds Pa 144 E Mallard Dr Boise ID 83706-3975 Ph: (208) 342-0315 | James A. Gorczyca Dds Pa 144 E Mallard Dr Boise ID 83706-3975 Ph: (208) 342-0315 |
| NPI Number | 1568622876 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 06/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568622876 | NPI | - | NPPES |
| 002485600 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D-1672 (Idaho) | Primary |
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