NPI age
19 years
Enumerated 2006-11-07
Across 1099 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 6I310 | BLUE CROSS OF IDAHO |
| 05 (ID) | 806625301 | |
| 01 (ID) | 1482771 | UNITED CONCORDIA |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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