| West Valley Dental | |
|
9502 W Fairview Ave Boise ID 83704-8103 | |
| (208) 377-2223 | |
| (208) 672-0035 |
| Full Name | West Valley Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 9502 W Fairview Ave, Boise, Idaho |
| Authorized Official Name and Position | James E Pfost (PRESIDENT) |
| Authorized Official Contact | 2083772223 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Dental 9502 W Fairview Ave Boise ID 83704-8103 Ph: (208) 377-2223 | West Valley Dental 9502 W Fairview Ave Boise ID 83704-8103 Ph: (208) 377-2223 |
| NPI Number | 1275949281 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 07/23/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275949281 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1365 (Idaho) | Primary |
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