Jason Champagne Idaho 4, Pllc

NPI #1508614033 in Boise, Idaho

Provider Information

NPI Number
1508614033
Entity Type
Organization
Organization Name
Jason Champagne Idaho 4, Pllc
Primary Specialty
Dentist - General Practice
Enumeration Date
May 9, 2024
Last Updated
May 9, 2024

Practice Location

Address
345 W BOBWHITE CT
City
Boise
State
Idaho
ZIP Code
83706-3982
Phone
(208) 345-1383

Authorized Official

Name
JASON CHAMPAGNE, DDS
Title
OWNER
Phone
(775) 359-3934

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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