NPI age
19 years
Enumerated 2006-07-23
Across 1099 active dentist providers in Idaho.
2 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | CS9246 | CONTROLLED SUBSTANCE NUMB |
| 01 (ID) | D-3556 | DENTAL |
| 01 (ID) | D-3565 | DENTAL |
| 01 (ID) | CS2043 | CONTROLLED SUBSTANCE # |
| 01 (ID) | CS9172 | CONTROLLED SUBSTANCE |
Multi-provider organization. 2 individual providers on file at this primary address.
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