Dentistry One of Idaho PC

NPI #1275314866 in Boise, Idaho

Provider Information

NPI Number
1275314866
Entity Type
Organization
Organization Name
Dentistry One of Idaho PC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 10, 2023
Last Updated
May 2, 2025

Practice Location

Address
800 W MAIN ST STE 1460
City
Boise
State
Idaho
ZIP Code
83702-5983
Phone
(877) 712-7875

Authorized Official

Name
BRANT HERMAN
Title
CEO
Phone
(877) 712-7875

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry
Dentist - General PracticeGeneral Practice

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