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Organization
BLUE HERON DENTAL
Active
Organization
BLUE HERON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHAD DALLAS HESS DDS (OWNER)
(208) 870-3838
Entity
Organization
Contact information
Practice address
345 W BOBWHITE CT, BOISE, ID 83706-3982
(208) 345-1383
Mailing address
345 W BOBWHITE CT, BOISE, ID 83706-3982
(208) 345-1383
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2020
Last updated
12/07/2020
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