Tree City Family Dental

NPI #1891304002 in Boise, Idaho

Provider Information

NPI Number: 1891304002
Entity Type: Organization
Organization Name: Tree City Family Dental
Primary Specialty: Dentist
Enumeration Date: Jul 24, 2020
Last Updated: Jul 24, 2020

Practice Location

Address: 7301 W. EMERALD ST STE. 102
City: Boise
State: Idaho
ZIP Code: 83704
Phone: (208) 286-2699

Authorized Official

Name: DUSTIN CONNAUGHTON, DDS
Title: DENTIST/OWNER
Phone: (208) 286-2699

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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