Organization
MILAN INSTITUTUE
Active
Other names
Academy of Professional Careers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA A DEHAAN (DIRECTOR)
(208) 472-2020
Entity
Organization
Contact information
Practice address
8590 W FAIRVIEW AVE, BOISE, ID 83704-8320
(208) 472-2020
Mailing address
8590 W. FAIRVIEW AVENUE, BOISE, ID 83704
(208) 472-2020
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3961
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8072719
—
ID
Enumeration date
05/10/2007
Last updated
08/22/2020
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