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Babichenko Dental Lab — NPI 1770623910, Boise, ID | NPI Central

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NPI 1770623910

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Babichenko Dental Lab

NPI 1770623910 · Denturist · Boise, ID

Provider details

NPI number: 1770623910
Entity type: Organization
Primary specialty: DenturistDental Providers
Authorized official: Gennady Babichenko, Owner
License: LD44 (ID)

Practice location

10480 W Garverdale Ct

Suite 804b

Boise, ID 83704-5411

Phone: (208) 376-6613

Fax: (208) 376-6613

More ID providers

Mailing address

10480 W Garverdale Ct

Boise, ID 83704-5411

Registry dates

Enumerated: 2007-02-07
Last updated: 2008-08-08

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.