Pediatric Dentistry Associates
Pediatric Dentistry Associates is a Dental Clinic/Center in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2009.
- Licensed in
- ID
- In the registry since
- 2009
Practice location Address checks out
13014 W Persimmon LnBoise, ID 83713-1986
Phone: (208) 377-2072
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dental Clinic/Center (primary) | Taxonomy 261QD0000X · Licence D-1703 (ID) |
|---|
Record details
| NPI number | 1851627467 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rodman Emory — President/Pediatric Dentist · (208) 377-2072 |
| NPI enumerated | November 2, 2009 |
| Last updated in NPPES | November 2, 2009 |
| Mailing address | 13014 W Persimmon Ln, Boise, ID 83713-1986 |
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