Organization
R. PAUL KELSON DDS MS ORTHODONTICS PA
Active
Organization
R. PAUL KELSON DDS MS ORTHODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DIANE C. KELSON (SECRETARY)
(208) 375-3397
Entity
Organization
Contact information
Practice address
10497 GARVERDALE COURT, #103, BOISE, ID 83704
(208) 378-1300
(208) 375-3397
Mailing address
10497 GARVERDALE COURT, #103, BOISE, ID 83704
(208) 378-1300
(208) 375-2795
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
01561
ID
Other
Enumeration date
12/17/2008
Last updated
12/17/2008
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