# PENNSYLVANIA DENTAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326355827
- **Authorized official:** DEVIN J STAMPFLI DDS (DENTIST)
- **Authorized official phone:** (208) 385-7500

## Contact information

- **Practice address:** 150 E BOISE AVE, BOISE, ID 83706-4379
- **Practice address phone:** (208) 385-7500
- **Practice address fax:** (208) 385-7625
- **Mailing address:** 150 E BOISE AVE, BOISE, ID 83706-4379
- **Mailing address phone:** (208) 385-7500
- **Mailing address fax:** (208) 385-7625

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3328 | ID | Yes |

## Other

- **Enumeration date:** 09/03/2010
- **Last updated:** 09/03/2010