Individual
MONIKA M ATTIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2641 S 25TH E, AMMON, ID 83406-5703
(208) 497-0049
Mailing address
2641 S 25TH E, AMMON, ID 83406-5703
(208) 497-0049
(208) 497-0618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5529
ID
Other
Enumeration date
06/07/2023
Last updated
06/15/2023
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