Individual
KAYLA R CASEBIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2301 N 36TH ST STE 102, BOISE, ID 83703-5202
(208) 336-8801
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5172
ID
Other
Enumeration date
07/07/2020
Last updated
07/07/2020
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