specializing in dentist in Meridian, Idaho
NPI: 1760094007
Provider Type
2
Practice Locations
Mailing Location
203 7TH AVE S
NAMPA, ID 83651
Practice Location
Provider Information
Gender:
Sole Proprietor:No
Enumeration Date:8/18/2020
Last Updated:8/18/2020
Credentials
Primary Credential: