Idaho Smiles Assoc. Plls

NPI #1003116542 in Boise, Idaho

Provider Information

NPI Number
1003116542
Entity Type
Organization
Organization Name
Idaho Smiles Assoc. Plls
Primary Specialty
Dentist - General Practice
Enumeration Date
Nov 1, 2010
Last Updated
Nov 1, 2010

Practice Location

Address
305 W IDAHO ST
City
Boise
State
Idaho
ZIP Code
83702-6040
Phone
(208) 343-7271

Authorized Official

Name
DR. JEFF TULLER, DDS
Title
OWNER/DENTIST
Phone
(208) 343-7271

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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