specializing in dentist in Ketchum, Idaho
NPI: 1457050619
Provider Type
2
Practice Locations
Mailing Location
333 S MAIN ST STE 110
KETCHUM, ID 83340
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:2/27/2023
Last Updated:2/27/2023
Credentials
Primary Credential: