NPI age
16 years
Enumerated 2009-12-02
Across 1099 active dentist providers in Idaho.
5 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 | 6357-8 | BLUE CROSS OF IDAHO |
| 01 | 816458 | UNITED CONCORDIA |
| 05 (ID) | 000837000 |
Multi-provider organization. 5 individual providers on file at this primary address.
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