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Organization
EMERALD WEST FAMILY DENTISTRY
Active
Organization
EMERALD WEST FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE BLAZEK (OFFICE MANAGER)
(208) 323-2294
Entity
Organization
Contact information
Practice address
8850 W EMERALD ST, #150, BOISE, ID 83704-4808
(208) 323-2294
(208) 323-2299
Mailing address
8850 W EMERALD ST, #150, BOISE, ID 83704-4808
(208) 323-2294
(208) 323-2299
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
ID
Other
Enumeration date
12/08/2006
Last updated
07/21/2022
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