Organization
HORIZON DENTAL NORTH END LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLE W ANDERSON DMD, MS (CEO)
(208) 343-0909
Entity
Organization
Contact information
Practice address
3810 N GARDEN CENTER WAY, BOISE, ID 83703-5007
(208) 853-5111
Mailing address
3810 N GARDEN CENTER WAY, BOISE, ID 83703-5007
(208) 853-5111
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4410OS
ID
Other
Enumeration date
08/18/2015
Last updated
08/18/2015
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