Boise Family Dental Care, Pllc

NPI #1073775078 in Boise, Idaho

Provider Information

NPI Number: 1073775078
Entity Type: Organization
Organization Name: Boise Family Dental Care, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 30, 2008
Last Updated: Jun 30, 2008

Practice Location

Address: 900 N LIBERTY ST STE 202
City: Boise
State: Idaho
ZIP Code: 83704-8707
Phone: (208) 376-7413

Authorized Official

Name: CHRISTIANNE CRUMP
Title: OFFICE MANAGER
Phone: (509) 434-8115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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