Organization
STEPHEN J RODELL DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN J RODELL DDS (PRESIDENT)
(208) 375-9488
Entity
Organization
Contact information
Practice address
10480 W GARVERDALE CT, #802, BOISE, ID 83704-5477
(208) 375-9488
(208) 376-2257
Mailing address
10480 W GARVERDALE CT, #802, BOISE, ID 83704-5477
(208) 375-9488
(208) 376-2257
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D2021
ID
Other
Enumeration date
10/18/2006
Last updated
08/22/2020
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