Public Denture Center

NPI #1053614248 in Boise, Idaho

Provider Information

NPI Number: 1053614248
Entity Type: Organization
Organization Name: Public Denture Center
Primary Specialty: Denturist
Enumeration Date: Dec 10, 2010
Last Updated: Dec 10, 2010

Practice Location

Address: 6710 W OVERLAND RD
City: Boise
State: Idaho
ZIP Code: 83709-2032
Phone: (208) 323-7790

Authorized Official

Name: MS. REBECCA LYNN WESTERBERG, LD
Title: DENTURIST HALF OWNER
Phone: (208) 323-7790

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Denturist	122400000X	Primary

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