Organization
TRISTA E POTTENGER, DMD PLLC
Active
Other names
High Desert Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRISTA E POTTENGER DMD (OWNER)
(208) 484-8212
Entity
Organization
Contact information
Practice address
12212 W AMITY RD, BOISE, ID 83709-5389
(208) 343-4732
(208) 343-3818
Mailing address
12212 W AMITY RD, BOISE, ID 83709-5389
(208) 343-4732
(208) 343-3818
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/03/2021
Last updated
11/03/2021
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