| Taylor Family Dentistry | |
|
3271 N Milwaukee St Ste 3 Boise ID 83704-4427 | |
| (208) 658-0859 | |
| (208) 658-0893 |
| Full Name | Taylor Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3271 N Milwaukee St Ste 3, Boise, Idaho |
| Authorized Official Name and Position | Brandon Taylor (OWNER) |
| Authorized Official Contact | 2086580859 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taylor Family Dentistry 3271 N Milwaukee St Ste 3 Boise ID 83704-4427 Ph: (208) 658-0859 | Taylor Family Dentistry 3271 N Milwaukee St Ste 3 Boise ID 83704-4427 Ph: (208) 658-0859 |
| NPI Number | 1700048204 |
|---|---|
| Provider Enumeration Date | 06/26/2008 |
| Last Update Date | 06/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700048204 | NPI | - | NPPES |
| 806330700 | Medicaid | ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3609 (Idaho) | Primary |
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