East Boise Dental
East Boise Dental provides Dentist services in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
150 E Boise AveBoise, ID 83706-4379 Not confirmed with CMS for 15 years — call before visiting
Phone: (208) 368-0500
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence D4068 (ID) |
|---|
Record details
| NPI number | 1194010272 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Todd Broyles — Owner · (208) 368-0500 |
| NPI enumerated | June 16, 2011 |
| Last updated in NPPES | June 16, 2011 |
| Mailing address | 150 E Boise Ave, Boise, ID 83706-4379 |
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