specializing in dentist in Emmett, Idaho
NPI: 1699051250
Provider Type
2
Practice Locations
Mailing Location
1110 S WASHINGTON AVE
EMMETT, ID 83617
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:10/27/2011
Last Updated:3/28/2012
Credentials
Primary Credential: