Individual
CHAD BODILY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 N OVERLAND AVE, BURLEY, ID 83318-3434
(208) 430-9555
Mailing address
425 N OVERLAND AVE, BURLEY, ID 83318-3434
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4600
ID
Other
Enumeration date
07/01/2014
Last updated
08/14/2025
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