Individual
DR. AMELIA J JUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 466-2456
(208) 318-0227
Mailing address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 466-2456
(208) 318-0227
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3732
ID
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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