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Organization
IDAHO STREET DENTAL INC
Active
Organization
IDAHO STREET DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH HASTINGS DDS (OWNDER)
(208) 343-7271
Entity
Organization
Contact information
Practice address
305 W IDAHO ST, BOISE, ID 83702-6040
(208) 343-7271
Mailing address
305 W IDAHO ST, BOISE, ID 83702-6040
(208) 343-7271
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/22/2026
Last updated
06/22/2026
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