Individual
BRETT DUNFORD DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3315 S HOLMES AVENUE, IDAHO FALLS, ID 83404
(208) 522-4491
(208) 522-4662
Mailing address
3315 S HOLMES AVENUE, IDAHO FALLS, ID 83404
(208) 522-4491
(208) 522-4662
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4681
ID
Other
Enumeration date
10/09/2015
Last updated
12/29/2021
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