MALLARD FAMILY DENTAL CENTER PLLC NPI 1740375591

NPI Information

MALLARD FAMILY DENTAL CENTER, PLLC is a general practice dentist in Boise, ID. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MALLARD FAMILY DENTAL CENTER, PLLC NPI is 1740375591. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

144 E MALLARD DR
BOISE, ID
ZIP 83706-975
Phone: (208) 342-0315

The provider's authorized official is James A. Gorczyca .
The authorized official title is Owner and has the following contact phone number (208) 342-0315.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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