Southwest Dental Associates
Southwest Dental Associates provides General Practice Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2010.
- Licensed in
- ID
- In the registry since
- 2010
Practice location Address checks out
1201 S Five Mile RdBoise, ID 83709-1304 Not confirmed with CMS for 16 years — call before visiting
Phone: (208) 322-5655
Fax: (208) 323-8160
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
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D2065 (ID) |
|---|
Record details
| NPI number | 1124346499 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeffrey Tuller — Dentist · (208) 322-5655 |
| NPI enumerated | May 12, 2010 |
| Last updated in NPPES | May 12, 2010 |
| Mailing address | 1201 S Five Mile Rd, Boise, ID 83709-1304 |
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