Organization · Type 2 NPI

Boise Children's Dentistry PLLC

Pediatric Dentistry · Boise, ID

NPI number 1700503133 Active

Practice location

136 E Mallard Dr
Boise, ID 83706-3975

Fax (208) 908-6178

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry Primary 1223P0221XNone listed
Dental Clinic/Center 261QD0000XNone listed

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2 other providers at this address

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About NPI 1700503133

Boise Children's Dentistry PLLC's National Provider Identifier is 1700503133, issued on Oct 26, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boise, ID. The record was last updated on Oct 26, 2022.