Hd Boise Dental, LLC

NPI #1346634870 in Boise, Idaho

Provider Information

NPI Number: 1346634870
Entity Type: Organization
Organization Name: Hd Boise Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 23, 2015
Last Updated: Mar 23, 2015

Practice Location

Address: 1212 N COLE RD
City: Boise
State: Idaho
ZIP Code: 83704-8646
Phone: (208) 375-4253

Authorized Official

Name: CHAYSE MYERS
Title: MANAGER
Phone: (208) 375-4253

Specialties & Taxonomy Codes

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

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