NPIRadar

Josh Crank, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Eagle, ID

NPI
1992188353
Type
Individual (Type 1)
Primary specialty
General Practice Dentistry (Dentist)
Specialty group
Dental Providers
Taxonomy code
1223G0001X
License number
D-4665 (ID)
Sex
Male
Sole proprietor
No
Enumerated
2015-07-02
Last updated
2015-07-02
Practice location
386 Longwood Dr
Eagle, ID 83616-5188
(480) 293-4196

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