Organization
RIVER CITY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FRANKLIN T WORTHAM (MEMBER)
(907) 252-8907
Entity
Organization
Contact information
Practice address
7723 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8811
(208) 853-2495
Mailing address
7723 W RIVERSIDE DR, BOISE, ID 83714-6182
(208) 853-8811
(208) 853-2495
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3475
ID
Other
Enumeration date
06/04/2011
Last updated
06/04/2011
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