Organization
PARAMOUNT FAMILY DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON ROCHELLE GROVER (OFFICE ADMINISTRATOR)
(208) 375-0192
Entity
Organization
Contact information
Practice address
10162 W FAIRVIEW AVE, BOISE, ID 83704-8117
(208) 375-0192
(208) 378-7333
Mailing address
10162 W FAIRVIEW AVE, BOISE, ID 83704-8117
(208) 375-0192
(208) 378-7333
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
01/27/2016
Last updated
01/27/2016
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