Organization
PARKCENTER SMILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEANN MOONEY DMD (OWNER)
(208) 841-5038
Entity
Organization
Contact information
Practice address
600 E RIVERPARK LN STE 140, BOISE, ID 83706-6509
(208) 841-5038
Mailing address
2842 S HOLDEN LN, BOISE, ID 83706-5032
(208) 841-5038
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2024
Last updated
03/08/2024
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