Organization
BOISE DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL E SMITH DMD (OWNER)
(208) 343-4986
Entity
Organization
Contact information
Practice address
801 N 10TH ST, BOISE, ID 83702
(208) 343-4986
(208) 343-4995
Mailing address
801 N 10TH ST, BOISE, ID 83702
(208) 343-4986
(208) 343-4995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1544
ID
Other
Enumeration date
08/30/2006
Last updated
08/22/2020
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