Individual
WILLIAM BLAKE BYBEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
5833 W. HIDDEN SPRINGS DR., BOISE, ID 83714
(208) 229-4900
Mailing address
5833 W HIDDEN SPRINGS DR, BOISE, ID 83714-9453
(208) 229-4900
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
8690227-9923
UT
122300000X
Dentist
Primary
D-4690
ID
Other
Enumeration date
08/14/2013
Last updated
07/10/2024
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