NPI: 1902916018
Provider Name: NORTH END DENTAL PLLC
Other Name: NORTH END DENTAL, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization
Specialization: General Practice
Address:
704 N 17TH STREET
BOISE, ID
ZIP 83702
Phone: (208) 344-0134
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NORTH END DENTAL 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. NORTH END DENTAL PLLC NPI is 1902916018. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is North End Dental, Pllc.
The provider's business location address is:
704 N 17TH STREET
BOISE, ID
ZIP 83702
Phone: (208) 344-0134
Fax: (208) 388-3990
The provider's authorized official is Dorothy Ann Mattefs .
The authorized official title is Off Mgr and has the following contact phone number (208) 344-0134.
The enumeration date for this NPI number is 8/30/2006 and was last updated on 12/11/2009.