Organization
ERROL C FIFE DDS PA
Active
Other names
Harrison Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERROL C FIFE DDS (OWNER PRESIDENT)
(208) 342-3695
Entity
Organization
Contact information
Practice address
1675 W HILL RD, BOISE, ID 83702-0982
(208) 342-3695
(208) 342-4065
Mailing address
1675 W HILL RD, BOISE, ID 83702-0982
(208) 342-3695
(208) 342-4065
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D 1587
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002562000
—
ID
Enumeration date
08/29/2006
Last updated
07/02/2008
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