Individual
DR. DANIEL S MALAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2398 E GOWEN RD, BOISE, ID 83716-6707
(208) 345-1751
(208) 338-8964
Mailing address
2398 E GOWEN RD, BOISE, ID 83716
(208) 407-4129
(208) 338-8964
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4063
ID
1223G0001X
General Practice Dentistry
D4063
ID
Other
Enumeration date
08/04/2008
Last updated
11/28/2023
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