Organization
ATLANTIS DENTAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID LAWRENCE CANTWELL DDS (PRESIDENT)
(208) 703-8304
Entity
Organization
Contact information
Practice address
13238 W PERSIMMON LN STE 100, BOISE, ID 83713-1968
(208) 938-2468
Mailing address
13238 W PERSIMMON LN STE 100, BOISE, ID 83713-1968
(208) 938-2468
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/24/2020
Last updated
07/24/2020
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