Organization
AFFINITY DENTAL
Active
Other names
Southwest Dental Arts
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HELEN HARLESS D.D.S. (DENTIST/OWNER)
(214) 587-6165
Entity
Organization
Contact information
Practice address
1201 S FIVE MILE RD, BOISE, ID 83709-1304
(208) 322-5655
Mailing address
1201 S FIVE MILE RD, BOISE, ID 83709-1304
(208) 322-5655
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4304
ID
Other
Enumeration date
12/07/2010
Last updated
10/19/2021
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