Organization
PENNSYLVANIA DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVIN J STAMPFLI DDS (DENTIST)
(208) 385-7500
Entity
Organization
Contact information
Practice address
150 E BOISE AVE, BOISE, ID 83706-4379
(208) 385-7500
(208) 385-7625
Mailing address
150 E BOISE AVE, BOISE, ID 83706-4379
(208) 385-7500
(208) 385-7625
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3328
ID
Other
Enumeration date
09/03/2010
Last updated
09/03/2010
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