Individual provider · Type 1 NPI
Malynn Rattanasamay, DDS
Pediatric Dentistry · Boise, ID
NPI number
1740620731
Active
Practice location
7800 W Ustick Rd
Boise, ID 83704-5848
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry | 1223G0001X | D-5505 (ID) |
| General Practice Dentistry | 1223G0001X | 7130 (WI) |
| Pediatric Dentistry Primary | 1223P0221X | D-5505-PD (ID) |
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.
Another provider at this address
Other pediatric dentistry providers in Boise
- Roy H. Rogers, DDS, M.S.Pediatric Dentistry Boise, ID NPI 1235170044
- Alexis Phillips, DMDPediatric Dentistry Boise, ID NPI 1346771904
- Rodman Owen Emory, DDSPediatric Dentistry Boise, ID NPI 1427012046
- Jeffrey K. Davis, DDSPediatric Dentistry Boise, ID NPI 1730197849
- Cheryl Higer, DMDPediatric Dentistry Boise, ID NPI 1801059209
- Laura Breanna Videtich, DDSPediatric Dentistry Boise, ID NPI 1902381247
About NPI 1740620731
Malynn Rattanasamay, DDS's National Provider Identifier is 1740620731, issued on Jul 5, 2013. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Boise, ID. The record was last updated on May 13, 2024.