Downtown Dental
Downtown Dental is a General Practice Dentistry in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2011.
- Licensed in
- ID
- In the registry since
- 2011
Practice location Address checks out
1625 W Bannock StBoise, ID 83702-5155
Phone: (208) 342-5444
Fax: (208) 342-2076
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D-3689 (ID) |
|---|
Record details
| NPI number | 1073805735 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryan Kowalczyk — Dentist · (208) 342-5444 |
| NPI enumerated | May 12, 2011 |
| Last updated in NPPES | May 12, 2011 |
| Mailing address | 1625 W Bannock St, Boise, ID 83702-5155 |
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