Individual
DR. LOREN E. SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
4203 CLOCK TOWER AVE., CALDWELL, ID 83607-5006
(208) 454-4112
(208) 454-5155
Mailing address
4203 CLOCK TOWER AVE., CALDWELL, ID 83607-5006
(208) 454-4112
(208) 454-5155
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-4121-OR
ID
Other
Enumeration date
01/17/2008
Last updated
01/17/2008
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