Organization · Type 2 NPI
Blue Heron Dental
Dental Clinic/Center · Boise, ID
NPI number
1659977619
Active
Practice location
345 W Bobwhite Ct
Boise, ID 83706-3982
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1659977619
Blue Heron Dental's National Provider Identifier is 1659977619, issued on Dec 7, 2020. 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 7, 2020.