Organization
BROOKDALE DENTAL, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT ERIC BARNEY DDS (OWNER)
(208) 373-0018
Entity
Organization
Contact information
Practice address
13219 W PERSIMMON LN, BOISE, ID 83713-1986
(208) 373-0018
(208) 378-9676
Mailing address
13219 W PERSIMMON LN, BOISE, ID 83713-1986
(208) 373-0018
(208) 378-9676
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/17/2008
Last updated
03/17/2008
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