institution
Boise Children's Dentistry Pllc
Dental Clinic/Center in Boise, Idaho
NPI 1700503133

Boise Children's Dentistry Pllc is a Dental Clinic/Center based in Boise, ID and is specialized in Dental. Boise Children's Dentistry Pllc practices in Boise, ID. The NPI Number for Boise Children's Dentistry Pllc is 1700503133 and holds a License No. (Idaho).

The current practice location address for Boise Children's Dentistry Pllc is 136 E Mallard Dr, Boise, ID and can be reached out via phone at 208-500-5437 and via fax at 208-908-6178.

Location: 136 E Mallard Dr, Boise, ID, 83706-3975
institution
Provider Profile Details
NPI Number
1700503133
Provider Name
Boise Children's Dentistry Pllc
Credential
Provider Entity Type
Organization
Address
136 E Mallard Dr, Boise, ID, 83706-3975
Phone Number
208-500-5437
Fax Number
208-908-6178
Provider Enumeration Date
10/26/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
136 E Mallard Dr
City
State
Zip
83706-3975
Phone Number
208-500-5437
Fax Number
208-908-6178
person
Provider Business Mailing Address Details
Address
136 E Mallard Dr
City
State
Zip
83706-3975
Phone Number
208-500-5437
Fax Number
208-908-6178
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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