specializing in dentist in Ketchum, Idaho

NPI: 1306037007

Provider Type

2

Practice Locations

Mailing Location

PO BOX 419

KETCHUM, ID 83340

📞 2087263457

📠 2087263494

Practice Location

120 SECOND AVE

SUITE 202

KETCHUM, ID 83340

📞 2087263457

📠 2087263494

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:8/7/2007
Last Updated:8/7/2007

Credentials

Primary Credential:
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