Downtown Dental Pllc

NPI #1629237540 in Boise, Idaho

Provider Information

NPI Number: 1629237540
Entity Type: Organization
Organization Name: Downtown Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 1625 W BANNOCK STREET
City: Boise
State: Idaho
ZIP Code: 83702-5155
Phone: (208) 342-5444

Authorized Official

Name: DR. RYAN MICHAEL KOWALCZYK, DENTIST
Title: OWNER/MANAGER
Phone: (208) 342-5444

Specialties & Taxonomy Codes

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

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