Organization
JASON CHAMPAGNE IDAHO 2, PLLC
Active
Other names
Value Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JASON CHAMPAGNE DDS (OWNER)
(775) 359-3934
Entity
Organization
Contact information
Practice address
1212 N COLE RD, BOISE, ID 83704-8646
(208) 375-4253
Mailing address
PO BOX 2070, SPARKS, NV 89432-2070
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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