Individual
MICHAEL JOHN FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
140 EAST BOISE AVENUE, BOISE, ID 83706
(208) 385-9228
(208) 385-9228
Mailing address
140 EAST BOISE AVENUE, BOISE, ID 83706
(208) 385-9228
(208) 385-9292
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D1670
ID
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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