Individual
SAEED GHOLIZADEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1500 E VENTURE WAY APT 7204, POCATELLO, ID 83201-1207
(720) 391-1011
Mailing address
1500 E VENTURE WAY APT 7204, POCATELLO, ID 83201-1207
(720) 391-1011
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5636
ID
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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