Riverpark Dental LLC

NPI #1144065673 in Boise, Idaho

Provider Information

NPI Number: 1144065673
Entity Type: Organization
Organization Name: Riverpark Dental LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 26, 2024
Last Updated: Jun 26, 2024

Practice Location

Address: 600 E RIVERPARK LN STE 120
City: Boise
State: Idaho
ZIP Code: 83706-6509
Phone: (208) 344-5024

Authorized Official

Name: COLEMAN MOWER, DMD
Title: DMD
Phone: (208) 994-9548

Specialties & Taxonomy Codes

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

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