Organization
IDAHO BUCKEYE INC
Active
Other names
Payette Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS GARPETTI DDS (DENTIST)
(208) 377-2160
Entity
Organization
Contact information
Practice address
1537 2ND AVE S, PAYETTE, ID 83661-2919
(208) 642-4111
Mailing address
13108 W PERSIMMON LN, BOISE, ID 83713-1986
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2019
Last updated
05/06/2019
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