Summit Dental Group
Summit Dental Group is a Dentist in Boise, Idaho. Licensed in Idaho. Registered with an NPI since 2007.
- Licensed in
- ID
- In the registry since
- 2007
Practice location Address checks out
480 N Latah StBoise, ID 83706-2630
Phone: (208) 345-8962
Fax: (208) 345-5207
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 · Licence D-1351 (ID) |
|---|
Record details
| NPI number | 1043343551 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Leberman — Admin · (208) 345-8962 |
| NPI enumerated | March 13, 2007 |
| Last updated in NPPES | April 4, 2016 |
| Mailing address | 480 N Latah St, Boise, ID 83706-2630 |
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