IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY

Dentist - Periodontics

Active Organization
NPI: 1194175232

Practice Address

6019 N EAGLE RD
Boise, ID 83713

Phone: (208) 377-2777

Specialties

Specialty Code Primary License
Dentist - Periodontics 1223P0300X Yes D-4290 (ID)

Frequently Asked Questions

NPI 1194175232 is the National Provider Identifier for IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY, a Dentist - Periodontics provider located in Boise, ID. This NPI was enumerated on June 20, 2016.

Quick Facts

NPI
1194175232
Type
Organization
Enumerated
Jun 20, 2016
Last Updated
Jun 20, 2016

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