NPI 1033379177

Quality Family Dentistry

Organisation Dentist Boise, ID

Practice location

Address: 10200 W Emerald Suite 105, Boise, ID 83704
Phone: (208) 376-7954
Fax: (208) 323-4859

Authorised official

Name: Robert W Ackerman
Title: Dentist
Phone: (208) 376-7954

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D3088 (ID)

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Registry record

NPI: 1033379177
Entity type: Organization
NPI issued: 12 Jun 2008
Record last updated: 12 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.