Individual
DR. JUSTIN CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
395 E 600 S, PRESTON, ID 83263-4901
(208) 852-0194
Mailing address
1415 N 800 W, PRESTON, ID 83263-5275
(435) 757-3332
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7000555-9922
UT
Other
Enumeration date
06/12/2008
Last updated
03/05/2022
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