Individual
VERNON O GAFFNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
(208) 524-2034
(208) 523-9004
Mailing address
333 S WOODRUFF AVE, IDAHO FALLS, ID 83401-4322
(208) 524-2034
(208) 523-9004
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1305
ID
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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