Organization · Type 2 NPI

Idaho Perio Center for Dental Implants & Laser Periodontal Therapy

Periodontics · Boise, ID

NPI number 1194175232 Active

Practice location

6019 N Eagle Rd
Boise, ID 83713-0997

Call (208) 377-2777 Map

Fax (208) 377-3075

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XD-4290 (ID)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

7 other providers at this address

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About NPI 1194175232

Idaho Perio Center for Dental Implants & Laser Periodontal Therapy's National Provider Identifier is 1194175232, issued on Jun 20, 2016. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Boise, ID. The record was last updated on Jun 20, 2016.