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Search › Idaho › 1223G0001X

Ryan Kowalczyk, DDS

NPI 1023121795 · on the registry since 2006 · sole proprietor

Practice

Address
1625 W Bannock St
Boise, ID 83702
Phone
(208) 342-5444
Fax
(208) 342-2076
Organisation at this address
Downtown Dental
Downtown Dental Pllc
Downtown Dental Pllc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
1223G0001X
1223G0001X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-12-06

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho