Organization
ANDREW SUMMERS DDS, MS, PC
Active
Other names
Rexburg Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW SUMMERS DDS, MS (OWNER)
(208) 356-3621
Entity
Organization
Contact information
Practice address
36 PROFESSIONAL PLZ, SUITE 200, REXBURG, ID 83440-2049
(208) 356-3621
(208) 356-5743
Mailing address
36 PROFESSIONAL PLZ, SUITE 200, REXBURG, ID 83440-2049
(208) 356-3621
(208) 356-5743
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D3625-OR
ID
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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