Cole Dental

NPI #1386057040 in Boise, Idaho

Provider Information

NPI Number: 1386057040
Entity Type: Organization
Organization Name: Cole Dental
Subpart: Yes (part of a larger organization)
Parent Organization: STEPHANIE J MOWER DMD PLLC DBA COLE DENTAL
Primary Specialty: Dentist
Enumeration Date: Jun 10, 2014
Last Updated: Jun 10, 2014

Practice Location

Address: 1166 N COLE RD STE A
City: Boise
State: Idaho
ZIP Code: 83704-8658
Phone: (208) 377-8383

Authorized Official

Name: STEPHANIE J MOWER, DMD
Title: OWNER/DENTIST
Phone: (208) 377-8383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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