Organization
BOISE WEST DENTAL HEALTH LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRED BRION LOWRY DDS (DENTIST)
(208) 377-0410
Entity
Organization
Contact information
Practice address
9460 W FRANKLIN RD, BOISE, ID 83709-0500
(208) 377-0410
(208) 377-0444
Mailing address
9460 W FRANKLIN RD, BOISE, ID 83709-0500
(208) 377-0410
(208) 377-0444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1566
ID
Other
Enumeration date
08/04/2006
Last updated
08/22/2020
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