# BOISE CENTER FOR COSMETIC DENTISTRY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cynthia A Mckim DMD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922161272
- **Authorized official:** CYNTHIA A MCKIM DMD (PRACTICE OWNER)
- **Authorized official phone:** (208) 939-7620

## Contact information

- **Practice address:** 5360 N EAGLE ROAD SUITE 101, BOISE, ID 83713
- **Practice address phone:** (208) 939-7620
- **Practice address fax:** (208) 939-7640
- **Mailing address:** 5360 N EAGLE ROAD SUITE 101, BOISE, ID 83713
- **Mailing address phone:** (208) 939-7620
- **Mailing address fax:** (208) 939-7640

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 3229 | ID | Yes |

## Other

- **Enumeration date:** 12/18/2006
- **Last updated:** 08/22/2020