Organization
MORRELL DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM SCOTT MORRELL D.D.S. (OWNER)
(208) 342-3440
Entity
Organization
Contact information
Practice address
403 S 11TH ST STE 200, BOISE, ID 83702-6968
(208) 342-3440
(208) 336-4740
Mailing address
403 S 11TH ST STE 200, BOISE, ID 83702-6968
(208) 342-3440
(208) 336-4740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2007
Last updated
08/23/2007
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