| River City Dental, Pllc | |
|
7723 W Riverside Dr Boise ID 83714-6182 | |
| (208) 853-8811 | |
| (208) 853-2495 |
| Full Name | River City Dental, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 7723 W Riverside Dr, Boise, Idaho |
| Authorized Official Name and Position | Franklin T Wortham (MEMBER) |
| Authorized Official Contact | 9072528907 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| River City Dental, Pllc 7723 W Riverside Dr Boise ID 83714-6182 Ph: (208) 853-8811 | River City Dental, Pllc 7723 W Riverside Dr Boise ID 83714-6182 Ph: (208) 853-8811 |
| NPI Number | 1689968968 |
|---|---|
| Provider Enumeration Date | 06/04/2011 |
| Last Update Date | 06/04/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689968968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3475 (Idaho) | Primary |
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