Organization
YOELI PARK, PLLC
Active
Other names
Stevens Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON HAMMER DMD (OWNER/DOCTER)
(208) 466-8400
Entity
Organization
Contact information
Practice address
10572 W BUSINESS PARK LN, BOISE, ID 83709-6797
(208) 375-5656
Mailing address
203 7TH AVE S, NAMPA, ID 83651-3846
(208) 466-8400
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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