Millennium Family Dental - Boise Llc | |
813 Stilson Rd Suite B Boise ID 83703 | |
(208) 342-4644 | |
(208) 367-0283 |
Full Name | Millennium Family Dental - Boise Llc |
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Speciality | Dentist - General Practice |
Location | 813 Stilson Rd, Boise, Idaho |
Authorized Official Name and Position | Jennifer Lynn Viquelia (OFFICE MANAGER) |
Authorized Official Contact | 2088882026 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Millennium Family Dental - Boise Llc 1848 Millenium Way Meridian ID 83642 Ph: (208) 888-2026 | Millennium Family Dental - Boise Llc 813 Stilson Rd Suite B Boise ID 83703 Ph: (208) 342-4644 |
NPI Number | 1104925064 |
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Provider Enumeration Date | 09/21/2006 |
Last Update Date | 12/30/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104925064 | NPI | - | NPPES |
806766100 | Medicaid | ID |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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Treasure Valley Oral And Facial Surgery Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 1000 N. Curtis Rd, Suite 103, Boise, ID 83706 Phone: 208-343-0909 Fax: 208-343-6282 | |
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