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Organization
STEPHEN SCHENK, D.D.S., P.C.
Active
Organization
STEPHEN SCHENK, D.D.S., P.C.
Active
Other names
Boise Periodontics and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SCHENK D.D.S., M.S. (OWNER)
(208) 375-9480
Entity
Organization
Contact information
Practice address
1228 N COLE RD, BOISE, ID 83704-8646
(208) 375-9480
Mailing address
1228 N COLE RD, BOISE, ID 83704-8646
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D-4242-PE
ID
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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