East Boise Dental

NPI #1194010272 in Boise, Idaho

Provider Information

NPI Number
1194010272
Entity Type
Organization
Organization Name
East Boise Dental
Primary Specialty
Dentist
Enumeration Date
Jun 16, 2011
Last Updated
Jun 16, 2011

Practice Location

Address
150 E BOISE AVE
City
Boise
State
Idaho
ZIP Code
83706-4379
Phone
(208) 368-0500

Authorized Official

Name
DR. TODD BROYLES, DDS
Title
OWNER
Phone
(208) 368-0500

Specialties & Taxonomy Codes

Specialty
Dentist

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