Hidden Springs Dental Pllc

NPI #1760661482 in Boise, Idaho

Provider Information

NPI Number: 1760661482
Entity Type: Organization
Organization Name: Hidden Springs Dental Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Oct 30, 2007
Last Updated: Oct 30, 2007

Practice Location

Address: 5833 W HIDDEN SPRINGS DR
City: Boise
State: Idaho
ZIP Code: 83714-9453
Phone: (208) 229-4900

Authorized Official

Name: MRS. JAYNE BLAZEK
Title: OFFICE MANAGER
Phone: (208) 228-4900

Specialties & Taxonomy Codes

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

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