Organization
DR MICHAEL BOEHM FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARYN L CRONE (FINANCIAL COORDINATOR)
(208) 773-5505
Entity
Organization
Contact information
Practice address
1280 E POLSTON AVE, POST FALLS, ID 83854-6056
(208) 773-5505
(208) 457-1712
Mailing address
1280 E POLSTON AVE, POST FALLS, ID 83854-6056
(208) 773-5505
(208) 457-1712
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3669
ID
Other
Enumeration date
06/05/2008
Last updated
06/05/2008
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