Organization
ALL ABOUT YOU DENTAL, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA MARIA MADARIETA TARRANT (FINANCIAL COORDINATOR)
(208) 938-8228
Entity
Organization
Contact information
Practice address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-8228
(208) 938-2442
Mailing address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-8228
(208) 938-2442
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2009
Last updated
07/14/2009
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