Individual
DR. DIANA ROSA POTHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642
(208) 373-1871
Mailing address
398 S 9TH ST STE 230, BOISE, ID 83702-7156
(208) 336-0003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4448
ID
Other
Enumeration date
07/13/2012
Last updated
08/30/2018
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