Organization
ADVANCED FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCO VINICIO GALVEZ DDS (PRESIDENT)
(208) 468-0590
Entity
Organization
Contact information
Practice address
1603-D 12TH AVE RD, NAMPA, ID 83686
(208) 468-0590
(208) 468-9910
Mailing address
1603-D 12TH AVE RD, NAMPA, ID 83686
(208) 468-0590
(208) 468-9910
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3047
ID
Other
Enumeration date
08/10/2006
Last updated
08/22/2020
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