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NPI 1790796134

OrganizationActive

Advanced Family Dentistry PC

NPI 1790796134 · Dentist · Nampa, ID

Provider details

NPI number: 1790796134
Entity type: Organization
Primary specialty: DentistDental Providers
Authorized official: Marco Galvez, President
License: D3047 (ID)

Practice location

1603-D 12th Ave Rd

Nampa, ID 83686

Phone: (208) 468-0590

Fax: (208) 468-9910

More ID providers

Mailing address

1603-D 12th Ave Rd

Nampa, ID 83686

Registry dates

Enumerated: 2006-08-10
Last updated: 2020-08-22

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

Advanced Family Dentistry PC — NPI 1790796134, Nampa, ID | NPI Central