Organization
BOISE FAMILY DENTAL CARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIANNE CRUMP (BUSINESS MANAGER)
(208) 376-7413
Entity
Organization
Contact information
Practice address
6363 W EMERALD ST., #102, BOISE, ID 83704
(208) 376-7413
(208) 376-7428
Mailing address
6363 W EMERALD ST. #102, BOISE, ID 83704
(208) 376-7413
(208) 376-7428
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4161
ID
Other
Enumeration date
06/30/2008
Last updated
04/02/2026
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