Organization
BRIAN BIRD DMD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN R BIRD (OWNER)
(208) 869-1038
Entity
Organization
Contact information
Practice address
1744 N MITCHELL ST, BOISE, ID 83704-6542
(208) 322-1263
Mailing address
1744 N MITCHELL ST, BOISE, ID 83704-6542
(208) 322-1263
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-3837
ID
Other
Enumeration date
06/05/2013
Last updated
02/08/2016
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