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Individual

DANIEL L BUERK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1311 E CENTRAL DR, MERIDIAN, ID 83642-7991
(208) 373-1860
Mailing address
749 E PARK BLVD, BOISE, ID 83712-7794
(618) 660-8669

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5646
ID

Other

Enumeration date
06/18/2024
Last updated
06/18/2024
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Product
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