Organization
HD BOISE DENTAL, LLC
Active
Other names
Half Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAYSE MYERS (MANAGER)
(208) 375-4253
Entity
Organization
Contact information
Practice address
1212 N COLE RD, BOISE, ID 83704-8646
(208) 375-4253
Mailing address
1212 N COLE RD, BOISE, ID 83704-8646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/23/2015
Last updated
03/23/2015
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