Organization
BOISE CARING DENTISTRY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VERONICA MONTGOMERY D.D.S. (PRESIDENT)
(208) 939-7620
Entity
Organization
Contact information
Practice address
5630 N EAGLE RD, SUITE 101, BOISE, ID 83713-4901
(208) 939-7620
(208) 939-7640
Mailing address
5630 N EAGLE RD, SUITE 101, BOISE, ID 83713-4901
(208) 939-7620
(208) 939-7640
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D-4631
ID
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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