NPI age
10 years
Enumerated 2015-05-26
Across 591 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 002639200 | |
| 05 (ID) | 807472000 | |
| 01 (ID) | 1811396708 | NPI |
| 01 (ID) | 1467543595 | NPI |
| 01 (ID) | 1760566384 | NPI |
Doing-business-as, former, and alternate names recorded by NPPES.
Single-site organization. Only one practice location on file.
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