NPI age
19 years
Enumerated 2006-11-20
Across 1099 active dentist providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 723020 | UNITED CONCORDIA |
| 01 (ID) | I 93452 | REGENCE BLUE SHIELD |
| 01 (ID) | 10029033 | REGENCE BLUE SHIELD |
| 01 (ID) | 62073 | WASHINGTON DENTAL SERVICE |
| 01 (ID) | I90841 | REGENCE BLUE SHIELD |
Multi-provider organization. 2 individual providers on file at this primary address.
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