Individual
DR. CASEY DURANE MARLATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1353 N MERIDIAN RD STE 101, KUNA, ID 83634-1310
(539) 539-0740
Mailing address
5362 N CORTONA WAY, MERIDIAN, ID 83646-3187
(509) 539-0740
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4837
ID
Other
Enumeration date
06/01/2017
Last updated
06/01/2017
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