All Phases Dentistry Pllc

NPI #1992117287 in Boise, Idaho

Provider Information

NPI Number: 1992117287
Entity Type: Organization
Organization Name: All Phases Dentistry Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: May 21, 2014
Last Updated: May 21, 2014

Practice Location

Address: 3810 N GARDEN CENTER WAY
City: Boise
State: Idaho
ZIP Code: 83703-5007
Phone: (208) 853-5111

Authorized Official

Name: MRS. ANISSA FERGUSON
Title: BUSINESS MANAGER
Phone: (208) 695-5913

Specialties & Taxonomy Codes

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

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