NPI age
12 years
Enumerated 2014-04-02
Across 7 active dental assistant providers in Idaho.
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 000000000000000 | HEALTH INSURANCE EXCHANGE ENROLLMENT |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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