Boise Center for Cosmetic Dentistry

NPI #1922161272 in Boise, Idaho

Provider Information

NPI Number: 1922161272
Entity Type: Organization
Organization Name: Boise Center for Cosmetic Dentistry
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 18, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 5360 N EAGLE ROAD SUITE 101
City: Boise
State: Idaho
ZIP Code: 83713
Phone: (208) 939-7620

Authorized Official

Name: CYNTHIA A MCKIM, DMD
Title: PRACTICE OWNER
Phone: (208) 939-7620

Specialties & Taxonomy Codes

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

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