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Individual

DROSTAN N ORME

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
150 2ND ST, BOX 218, MELBA, ID 83641-5199
(208) 495-1011
(208) 495-1012
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 467-7684

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3986
ID

Other

Enumeration date
08/10/2006
Last updated
07/08/2007
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