Organization · Type 2 NPI

Lake Harbor Dental

General Practice Dentistry · Boise, ID

NPI number 1639310089 Active

Practice location

5355 W State St
Boise, ID 83703-3333

Fax (208) 853-4690

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001XD3044 (ID)
General Practice Dentistry 1223G0001XD4142 (ID)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

5 other providers at this address

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About NPI 1639310089

Lake Harbor Dental's National Provider Identifier is 1639310089, issued on Mar 16, 2009. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Boise, ID. The record was last updated on Mar 16, 2009.