Royal Dental PLLC
Clinic/Center, Dental in Boise, ID. Organization (NPI-2).
NPI number1831982958
StatusActive
Last updated in NPPESMay 22, 2025
Details
- NPI
- 1831982958
- Entity type
- Organization (NPI-2)
- Legal business name
- Royal Dental PLLC
- Organization subpart
- No
- Enumeration date
- May 22, 2025
- Certification date
- May 22, 2025
- Last updated
- May 22, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Other names
- Four Seasons Dentistry (Doing Business As)
Practice location
2398 E Gowen RdBoise, ID 83716-6707
Phone 702-704-5467
Mailing address
11496 W Peconic CtBoise, ID 83709-3316
Phone 702-704-5467
Authorized official
Michael Howard Robinson
President
7027045467
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All 53 Dental Clinic/Center providers in Boise · All 12,265 providers in Boise
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