Organization
BLANCHARD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TRAN MPH (REGIONAL MANAGER)
(408) 234-5099
Entity
Organization
Contact information
Practice address
1212 N COLE RD, BOISE, ID 83704-8646
(208) 375-4253
Mailing address
1212 N COLE RD, BOISE, ID 83704-8646
(208) 375-4253
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/06/2013
Last updated
05/06/2013
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