specializing in dentist in Ammon, Idaho
NPI: 1902032246
Provider Type
2
Practice Locations
Mailing Location
3285 E. 17TH ST.
AMMON, ID 83406
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:6/1/2009
Last Updated:6/1/2009
Credentials
Primary Credential: