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

LAKE HARBOR DENTAL

Active Organization

LAKE HARBOR DENTAL is a General Dentistry organization located in BOISE, Idaho. NPI 1639310089 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · BOISE, ID

Registration Details

NPI Number
1639310089
Provider Type
Organization
NPI Issued
Mar 16, 2009 (17.430456087875 yrs)
Last Updated
Mar 16, 2009
Licenses
D4142 (ID)
D3044 (ID)

Practice Information

Address
5355 W STATE ST
BOISE, ID, 837033333
Browse ID providers · Browse ZIP 83703
Phone
2088534687
Fax
2088534690
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry

Other General Dentistry Organizations in BOISE, ID

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.