NPI age
19 years
Enumerated 2006-07-19
Across 1099 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000010012469 | BLUE SHIELD |
| 01 | 000010012469 | CARING FOUNDATION BLUE SH |
| 01 | 532545 | UNITED CONCORDIA |
| 01 | 3127302 | BLUE CROSS BLUE SHIELD TN |
| 01 (ID) | 69450 | BLUE CROSS |
Solo or small practice. No other active providers share this practice address in NPPES.
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