Intermountain Dental Specialists
NPI #1134522535 in Boise, Idaho
Provider Information
- NPI Number
- 1134522535
- Entity Type
- Organization
- Organization Name
- Intermountain Dental Specialists
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 30, 2014
- Last Updated
- Sep 30, 2014
Practice Location
Authorized Official
- Name
- DR. JERRY MICHAEL CARBONE, D.M.D
- Title
- MANAGING MEMBER
- Phone
- (208) 917-2855
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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