Organization
RIVERVIEW DENTAL PLLC
Active
Parent organization
RIVERVIEW DENTAL PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
RIVERVIEW DENTAL PLLC
Authorized official
QUINN BROWN DMD (OWNER)
(208) 571-5678
Entity
Organization
Contact information
Practice address
1175 E PARKCENTER BLVD STE 101, BOISE, ID 83706-6752
(208) 888-5544
Mailing address
1175 E PARKCENTER BLVD STE 101, BOISE, ID 83706-6752
(208) 888-5544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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