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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY

Active Organization

IDAHO PERIO CENTER FOR DENTAL IMPLANTS & LASER PERIODONTAL THERAPY is a Periodontology organization located in BOISE, Idaho. NPI 1194175232 is currently active in the NPPES registry. Verify at CMS.

Periodontology · BOISE, ID

Registration Details

NPI Number
1194175232
Provider Type
Organization
NPI Issued
Jun 20, 2016 (10.161438747537 yrs)
Last Updated
Jun 20, 2016
License
D-4290 (ID)

Practice Information

Address
6019 N EAGLE RD
BOISE, ID, 837130997
Browse ID providers · Browse ZIP 83713
Phone
2083772777
Fax
2083773075
Primary Specialty
Periodontology
1223P0300X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.