Boise Premier Dentistry
Boise Premier Dentistry is a Dentist in Boise, Idaho. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
3809 W State StBoise, ID 83703-5221
Phone: (208) 551-5155
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X |
|---|
Record details
| NPI number | 1689258758 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Maryam Moghaddasian — Owner · (208) 794-6391 |
| Other names | Boise Premier Dentistry |
| NPI enumerated | May 5, 2021 |
| Last updated in NPPES | May 5, 2021 |
| Certification date | May 5, 2021 |
| Mailing address | 3809 W State St, Boise, ID 83703-5221 |
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