Individual
WESTON VERN FRANDSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
90 HOPE DRIVE, BLDG 6000, MOUNTAIN HOME, ID 83647
(208) 828-7300
Mailing address
90 HOPE DR BLDG 6000, MOUNTAIN HOME AFB, ID 83648-1062
(208) 828-7300
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D-5148
ID
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
03/03/2020
Last updated
06/03/2022
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