Organization
HIDDEN SPRINGS DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JAYNE BLAZEK (OFFICE MANAGER)
(208) 228-4900
Entity
Organization
Contact information
Practice address
5833 W HIDDEN SPRINGS DR, BOISE, ID 83714-9453
(208) 229-4900
(208) 229-4902
Mailing address
5833 W HIDDEN SPRINGS DR, BOISE, ID 83714-9453
(208) 229-4900
(208) 229-4902
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1992
ID
1223G0001X
General Practice Dentistry
D3281
ID
Other
Enumeration date
10/30/2007
Last updated
10/30/2007
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