Organization
RIVERVIEW DENTAL SOUTH PLLC
Active
Parent organization
RIVERVIEW DENTAL PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERVIEW DENTAL PLLC
Authorized official
MRS. ERIN COLLEEN SHEA (OFFICE MANAGER)
(208) 375-3754
Entity
Organization
Contact information
Practice address
1331 S FIVE MILE RD, BOISE, ID 83709
(208) 375-3754
(208) 375-3758
Mailing address
1331 S FIVE MILE RD, BOISE, ID 83709
(208) 375-3754
(208) 375-3758
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2024
Last updated
08/01/2024
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