Individual
DR. DANIEL BRYAN ACKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10200 W EMERALD ST STE 105, BOISE, ID 83704-8900
(208) 376-7954
(208) 323-4859
Mailing address
10200 W EMERALD ST STE 105, BOISE, ID 83704-8900
(208) 376-7954
(208) 323-4859
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5067
ID
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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