NPI 1902351364

Michelle Phillips, RDHBSCOM

Practitioner Dental Hygienist Boise, ID

Practice location

Address: 1201 S Five Mile Rd, Boise, ID 83709-1304
Phone: (208) 631-0371
Mailing address: 2874 S Bear Claw Way, Meridian, ID 83642-4470

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence DH-0981 (ID)

Other Dental Hygienist providers in Idaho →

Registry record

NPI: 1902351364
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Aug 2016
Record last updated: 15 Aug 2016

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.