Organization
ANDREW SUMMERS DDS, MS, PC
Active
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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