NPI age
19 years
Enumerated 2006-07-17
Across 1099 active dentist providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 01478887 | UNITED CONCORDIA INS |
| 05 (ID) | 806628200 | |
| 01 (ID) | 000010143908 | BLUE SHIELD OF ID |
| 01 (ID) | 6H361 | BLUE CROSS INS |
Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.
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