NPI age
18 years
Enumerated 2007-06-04
Across 1099 active dentist providers in Idaho.
3 individual providers on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 69054 | BLUE CROSS OF IDAHO |
| 01 (ID) | 6K356 | BLUE CROSS OF IDAHO |
Multi-provider organization. 3 individual providers on file at this primary address.
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