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Organization

QUALITY FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT W ACKERMAN DDS (DENTIST)
(208) 376-7954
Entity
Organization

Contact information

Practice address
10200 W EMERALD, SUITE 105, BOISE, ID 83704
(208) 376-7954
(208) 323-4859
Mailing address
10200 W EMERALD, SUITE 105, BOISE, ID 83704
(208) 376-7954
(208) 323-4859

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3088
ID

Other

Enumeration date
06/12/2008
Last updated
06/12/2008
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