Organization
CENTER FOR CONTEMPORARY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY JAYSON HUFF DDS (OWNER, DENTIST)
(208) 342-8000
Entity
Organization
Contact information
Practice address
3157 SO BOWN WAY, STE 200, BOISE, ID 83706
(208) 342-8000
(208) 342-8011
Mailing address
3157 SO BOWN WAY, STE 200, BOISE, ID 83706
(208) 342-8000
(208) 342-8011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3700
ID
Other
Enumeration date
04/10/2007
Last updated
02/18/2009
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