NPI age
19 years
Enumerated 2006-08-01
Across 1099 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 62026 | BLUE CROSS OF ID-MER |
| 01 (ID) | 6D295 | BLUE CROSS OF ID-MIDD |
| 01 (ID) | 10009480 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 134932 | TRI-CARE |
| 01 (ID) | D1965 | DELTA DENTAL OF ID |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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