Individual
DR. MICHAEL BRYSON STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1706 OVERLAND AVE, BURLEY, ID 83318-2436
(208) 678-2332
Mailing address
1706 OVERLAND AVE, BURLEY, ID 83318-2436
(208) 678-2332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5408
ID
Other
Enumeration date
06/14/2022
Last updated
06/14/2022
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