Pennsylvania Dental

NPI #1326355827 in Boise, Idaho

Provider Information

NPI Number: 1326355827
Entity Type: Organization
Organization Name: Pennsylvania Dental
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 3, 2010
Last Updated: Sep 3, 2010

Practice Location

Address: 150 E BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-4379
Phone: (208) 385-7500

Authorized Official

Name: DEVIN J STAMPFLI, DDS
Title: DENTIST
Phone: (208) 385-7500

Specialties & Taxonomy Codes

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

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