Organization
DENTISTS OF BOISE AND ORTHODONTICS, PC
Active
Other names
Dentists of Boise and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN JOHNSON DDS (OWNER)
(208) 258-7740
Entity
Organization
Contact information
Practice address
7500 W STATE ST STE 110, BOISE, ID 83714-6074
(208) 258-7740
(208) 350-6895
Mailing address
PO BOX 920050, DALLAS, TX 75392-0050
(714) 845-8890
(303) 852-0892
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
08/05/2022
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