specializing in dentist in Boise, Idaho
NPI: 1619725132
Provider Type
2
Practice Locations
Mailing Location
PO BOX 2070
SPARKS, NV 89432
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:5/9/2024
Last Updated:5/9/2024
Credentials
Primary Credential: