Organization
BLACK BEAR DENTAL PLLC
Active
Other names
Parkcenter Smiles
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KRAJICEK DDS (DENTIST)
(208) 906-3860
Entity
Organization
Contact information
Practice address
600 E RIVERPARK LN STE 140, BOISE, ID 83706-6509
(208) 906-3860
Mailing address
600 E RIVERPARK LN STE 140, BOISE, ID 83706-6509
(208) 906-3860
(208) 906-3862
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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