Advanced Family Dentistry PC

NPI #1790796134 in Nampa, Idaho

Provider Information

NPI Number: 1790796134
Entity Type: Organization
Organization Name: Advanced Family Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Aug 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1603-D 12TH AVE RD
City: Nampa
State: Idaho
ZIP Code: 83686
Phone: (208) 468-0590

Authorized Official

Name: DR. MARCO VINICIO GALVEZ, DDS
Title: PRESIDENT
Phone: (208) 468-0590

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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