Idaho Family Dental Pllc

NPI #1356021489 in Boise, Idaho

Provider Information

NPI Number: 1356021489
Entity Type: Organization
Organization Name: Idaho Family Dental Pllc
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2023
Last Updated: Jul 24, 2023

Practice Location

Address: 9203 W. OVERLAND RD.
City: Boise
State: Idaho
ZIP Code: 83709
Phone: (208) 375-1012

Authorized Official

Name: DR. ANNA BUDOLFSON, DMD
Title: DENTIST/OWNER
Phone: (208) 375-1012

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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