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Individual
DR. GERALD W. VORLICKY
Active
Individual
DR. GERALD W. VORLICKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1466
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10012304
REGENCE BLUE SHIELD OF ID
ID
01
—
134932
TRI-CARE
ID
01
—
65037
BLUE CROSS OF IDAHO
ID
01
—
D1466
DELTA DENTAL OF ID
ID
Enumeration date
08/01/2006
Last updated
07/09/2007
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