Individual
CRAIG RENCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
342 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
(208) 734-8080
Mailing address
342 BLUE LAKES BLVD N, TWIN FALLS, ID 83301-4827
(208) 734-8080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1611
ID
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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