Individual
BENJAMIN A HULBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
9733 W USTICK RD, BOISE, ID 83704-5202
(208) 375-8720
Mailing address
9733 W USTICK RD, BOISE, ID 83704-5202
(208) 375-8720
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5135
ID
Other
Enumeration date
05/07/2020
Last updated
05/07/2020
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