Stilson Dental Partnership Pllc

NPI #1669984902 in Boise, Idaho

Provider Information

NPI Number: 1669984902
Entity Type: Organization
Organization Name: Stilson Dental Partnership Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 26, 2017
Last Updated: Oct 26, 2017

Practice Location

Address: 813 N STILSON RD STE B
City: Boise
State: Idaho
ZIP Code: 83703-5119
Phone: (208) 342-4644

Authorized Official

Name: TYSON N GRAY, DMD
Title: MANAGING PARTNER
Phone: (208) 342-4644

Specialties & Taxonomy Codes

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

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