specializing in dentist in Meridian, Idaho

NPI: 1043562143

Provider Type

2

Practice Locations

Mailing Location

2860 MICHELLE FL 2

IRVINE, CA 92606

📞 7143682084

📠 7143682092

Practice Location

2274 N EAGLE RD STE 130

MERIDIAN, ID 83646

📞 2088985440

📠 2088935441

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:10/12/2012
Last Updated:10/16/2012

Credentials

Primary Credential:
null null null - Dentist in Meridian, Idaho