NPI age
19 years
Enumerated 2006-10-18
Across 591 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 905459 | UNITED CONCORDIA |
| 01 (ID) | 0001 0011493 | REGENCE BLUE SHIELD |
| 01 (ID) | 66688 | BLUE CROSS |
| 01 (ID) | 6E755 | FEDERAL EMPLOYEE PROGRAM |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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