Mallard Family Dental Center, Pllc

NPI #1740375591 in Boise, Idaho

Provider Information

NPI Number: 1740375591
Entity Type: Organization
Organization Name: Mallard Family Dental Center, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 4, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 144 E MALLARD DR
City: Boise
State: Idaho
ZIP Code: 83706-3975
Phone: (208) 342-0315

Authorized Official

Name: DR. JAMES A. GORCZYCA
Title: OWNER
Phone: (208) 342-0315

Specialties & Taxonomy Codes

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

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