Organization · Type 2 NPI

Idaho Street Dental Inc

Dental Clinic/Center · Boise, ID

NPI number 1801722350 Active

About NPI 1801722350

Idaho Street Dental Inc's National Provider Identifier is 1801722350, issued on Jun 22, 2026. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Boise, ID. The record was last updated on Jun 22, 2026.