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Individual

DR. ADAM DIXON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
870 N LINDER RD STE G, MERIDIAN, ID 83642-4392
(208) 888-3384
Mailing address
870 N LINDER RD STE G, MERIDIAN, ID 83642-4392
(208) 888-3384

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5054
ID
1223G0001X
General Practice Dentistry
D-5054
ID

Other

Enumeration date
06/25/2019
Last updated
08/07/2023
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