Individual
DR. JOHN D WOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
600 E RIVERPARK LN STE 140, BOISE, ID 83706-6509
(208) 383-9155
Mailing address
6052 S PLATEAU VIEW WAY, BOISE, ID 83716-7023
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3447
ID
Other
Enumeration date
12/07/2006
Last updated
07/09/2007
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