NPI age
14 years
Enumerated 2011-08-02
Across 1099 active dentist providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 1194808238 | NPI |
| 01 (ID) | 1992715304 | NPI |
Multi-provider organization. 1 individual provider on file at this primary address.
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