NPI age
15 years
Enumerated 2010-09-15
Across 1099 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 6P591 | BLUE CROSS OF IDAHO |
| 01 (ID) | 9201894 | IDAHO SMILES/DENTAQUEST |
| 01 (ID) | 000010009646 | BLUE SHIELD OF IDAHO |
| 01 | 612058100 | US DEPARTMENT OF LABOR |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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