Organization
WEST VALLEY ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HYMAS (OFFICE ADMINISTRATOR)
(208) 841-7810
Entity
Organization
Contact information
Practice address
3308 N MILWAUKEE ST, BOISE, ID 83704-4447
(208) 323-1990
(208) 323-1990
Mailing address
3308 N MILWAUKEE ST, BOISE, ID 83704-4447
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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