NPI age
19 years
Enumerated 2006-07-13
Across 591 active dentist providers in Idaho.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 6J432 | BLUE CROSS OF IDAHO |
| 01 (ID) | ID03568A | DELTA DENTAL |
| 05 (ID) | 806186200 | |
| 01 (ID) | 1347936 | UNITED CONCORDIA |
Multi-provider organization. 1 individual provider on file at this primary address.
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