Individual
DR. THOMAS DWIGHT DEPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4411 E FLAMINGO AVE, NAMPA, ID 83687-3113
(208) 466-3597
(208) 466-4187
Mailing address
1200 S LAKE POINTE WAY, EAGLE, ID 83616-7125
(208) 939-5855
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1585
ID
Other
Enumeration date
01/04/2007
Last updated
07/08/2007
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