institution
Babichenko Dental Lab
Denturist in Boise, Idaho
NPI 1770623910

Babichenko Dental Lab is a Denturist based in Boise, ID. Babichenko Dental Lab practices in Boise, ID. The NPI Number for Babichenko Dental Lab is 1770623910 and holds a License No. LD44 (Idaho).

The current practice location address for Babichenko Dental Lab is 10480 W Garverdale Ct, Boise, ID and can be reached out via phone at 208-376-6613 and via fax at 208-376-6613.

Location: 10480 W Garverdale Ct, Boise, ID, 83704-5411
institution
Provider Profile Details
NPI Number
1770623910
Provider Name
Babichenko Dental Lab
Credential
Provider Entity Type
Organization
Address
10480 W Garverdale Ct, Boise, ID, 83704-5411
Phone Number
208-376-6613
Fax Number
208-376-6613
Provider Enumeration Date
02/07/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
806208700 05 ID
institution
Provider Business Practice Location Address Details
Address
10480 W Garverdale Ct
City
State
Zip
83704-5411
Phone Number
208-376-6613
Fax Number
208-376-6613
person
Provider Business Mailing Address Details
Address
10480 W Garverdale Ct
City
State
Zip
83704-5411
Phone Number
208-376-6613
Fax Number
208-376-6613
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
LD44 (Idaho)
Definition
Definition to come.
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