Organization
STEPHEN SCHENK, D.D.S., P.C.
Active
Other names
Boise Periodontics and Implants
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN SCHENK D.D.S., M.S. (OWNER)
(208) 375-9480
Entity
Organization
Contact information
Practice address
1228 N COLE RD, BOISE, ID 83704-8646
(208) 375-9480
Mailing address
1228 N COLE RD, BOISE, ID 83704-8646
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D-4242-PE
ID
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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