TREASURE VALLEY PERIODONTICS NPI 1972968998

NPI Information

TREASURE VALLEY PERIODONTICS is a periodontics dentist in Boise, ID. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. TREASURE VALLEY PERIODONTICS NPI is 1972968998. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

813 N STILSON RD STE C
BOISE, ID
ZIP 83703-119
Phone: (208) 344-0908

The provider's authorized official is Kathleen A Beaudry .
The authorized official title is Owner and has the following contact phone number (208) 344-0908.

The enumeration date for this NPI number is 12/17/2015 and was last updated on 12/17/2015.

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:

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