Organization · Type 2 NPI

Jason Champagne Idaho 5, PLLC

General Practice Dentistry · Boise, ID

NPI number 1114775640 Active

About NPI 1114775640

Jason Champagne Idaho 5, PLLC's National Provider Identifier is 1114775640, issued on May 9, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on May 9, 2024.