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Charles Grace, D.D.S — NPI 1992917207, Boise, ID | NPI Central

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NPI 1992917207

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Charles Grace, D.D.S

NPI 1992917207 · Dentist · Boise, ID

Provider details

NPI number: 1992917207
Entity type: Individual
Primary specialty: DentistDental Providers
Credential: D.D.S
Sex: Male
Sole proprietor: Yes
License: D3522 (ID)

Specialties & taxonomies

DentistPrimary122300000XLicense D3522 (ID)
Dental Providers

Practice location

850 S Latah St

Boise, ID 83705-2255

Phone: (208) 342-7714

Fax: (208) 342-7781

Approximate (ZIP-level) locationGet directions

More ID providers

Mailing address

850 S Latah St

Boise, ID 83705-2255

Registry dates

Enumerated: 2007-05-07
Last updated: 2010-08-02

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