Intermountain Dental Specialists
Intermountain Dental Specialists is a Dental Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2014.
- Licensed in
- ID
- In the registry since
- 2014
Practice location Address checks out
12249 W McMillan RdBoise, ID 83713-0555
Phone: (208) 917-2855
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence D3642EN (ID) |
|---|
Record details
| NPI number | 1134522535 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jerry Carbone — Managing Member · (208) 917-2855 |
| NPI enumerated | September 30, 2014 |
| Last updated in NPPES | September 30, 2014 |
| Mailing address | 12249 W McMillan Rd, Boise, ID 83713-0555 |
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