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Individual

DR. JOHN ANDREW WERNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
619 S WASHINGTON ST STE 303, MOSCOW, ID 83843-3063
(208) 883-7777
Mailing address
676 VICTORIA DR, MOSCOW, ID 83843-7813
(509) 304-4370

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4413
ID

Other

Enumeration date
02/22/2007
Last updated
11/03/2012
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