Organization · Type 2 NPI
Downtown Dental PLLC
Dental Clinic/Center · Boise, ID
NPI number
1407361769
Active
Practice location
1625 W Bannock St
Boise, ID 83702-5155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | D-3689 (ID) |
Dental Clinic/Center: Definition to come...
2 other providers at this address
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About NPI 1407361769
Downtown Dental PLLC's National Provider Identifier is 1407361769, issued on Dec 8, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on Dec 6, 2023.