Individual
DR. WAYNE L CLAIBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
10552 W GARVERDALE COURT, SUITE 902, BOISE, ID 83704-5478
(208) 336-4777
Mailing address
10552 W GARVERDALE COURT, SUITE 902, BOISE, ID 83704-5478
(208) 336-4777
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D1896
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000979800
—
ID
Enumeration date
11/08/2006
Last updated
11/22/2023
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