Troy A. Clovis Dmd

NPI #1407015613 in Boise, Idaho

Provider Information

NPI Number: 1407015613
Entity Type: Organization
Organization Name: Troy A. Clovis Dmd
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 3, 2008
Last Updated: Jun 3, 2008

Practice Location

Address: 4552 N CLOVERDALE RD
City: Boise
State: Idaho
ZIP Code: 83713-2417
Phone: (208) 376-2726

Authorized Official

Name: MS. SUZANNE B MOONEY
Title: BOOKKEEPER
Phone: (208) 376-2726

Specialties & Taxonomy Codes

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

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