Atlantis Dental Care, P.a.

NPI #1588273635 in Boise, Idaho

Provider Information

NPI Number: 1588273635
Entity Type: Organization
Organization Name: Atlantis Dental Care, P.a.
Primary Specialty: Dentist - General Practice
Enumeration Date: Jul 24, 2020
Last Updated: Jul 24, 2020

Practice Location

Address: 13238 W PERSIMMON LN STE 100
City: Boise
State: Idaho
ZIP Code: 83713-1968
Phone: (208) 938-2468

Authorized Official

Name: DR. DAVID LAWRENCE CANTWELL, DDS
Title: PRESIDENT
Phone: (208) 703-8304

Specialties & Taxonomy Codes

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

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