Organization · NPI-2
1st Class Dentures, LLC
Denturist · Boise, ID
NPI number1750223475
StatusActive
Last updated in NPPESApr 9, 2026
Details
- NPI
- 1750223475
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Class Dentures, LLC
- Organization subpart
- No
- Enumeration date
- Apr 9, 2026
- Certification date
- Apr 9, 2026
- Last updated
- Apr 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122400000X | Denturist | – | – | Yes |
Practice location
6051 N Eagle RdBoise, ID 83713-0997
Phone 208-336-8873
Mailing address
6051 N Eagle RdBoise, ID 83713-0997
Phone 208-336-8873
Authorized official
James Robbert Flud Van Giffen
Owner
9712413595
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