# BOISE WEST DENTAL HEALTH LLP

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

## Provider details

- **NPI number:** 1669480711
- **Authorized official:** DR. FRED BRION LOWRY DDS (DENTIST)
- **Authorized official phone:** (208) 377-0410

## Contact information

- **Practice address:** 9460 W FRANKLIN RD, BOISE, ID 83709-0500
- **Practice address phone:** (208) 377-0410
- **Practice address fax:** (208) 377-0444
- **Mailing address:** 9460 W FRANKLIN RD, BOISE, ID 83709-0500
- **Mailing address phone:** (208) 377-0410
- **Mailing address fax:** (208) 377-0444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D1566 | ID | Yes |

## Other

- **Enumeration date:** 08/04/2006
- **Last updated:** 08/22/2020