Center for Contemporary Dentistry

NPI #1790808012 in Boise, Idaho

Provider Information

NPI Number: 1790808012
Entity Type: Organization
Organization Name: Center for Contemporary Dentistry
Primary Specialty: Dentist
Enumeration Date: Apr 10, 2007
Last Updated: Feb 18, 2009

Practice Location

Address: 3157 SO BOWN WAY
Address 2: STE 200
City: Boise
State: Idaho
ZIP Code: 83706
Phone: (208) 342-8000

Authorized Official

Name: TIMOTHY JAYSON HUFF, DDS
Title: OWNER, DENTIST
Phone: (208) 342-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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