Townsquare Dental of Blackfoot Pllc
NPI #1861260093 in Blackfoot, Idaho
Provider Information
- NPI Number
- 1861260093
- Entity Type
- Organization
- Organization Name
- Townsquare Dental of Blackfoot Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Dec 18, 2023
- Last Updated
- Dec 18, 2023
Practice Location
Authorized Official
- Name
- BOONE ALLEN, DDS
- Title
- OWNER
- Phone
- (208) 785-0878
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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