Individual
R. ERIK CANTWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
780 W CHERRY LN, MERIDIAN, ID 83642-1617
(208) 888-4711
(208) 888-0308
Mailing address
780 W CHERRY LN, MERIDIAN, ID 83642-1617
(208) 888-4711
(208) 888-0308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4075
ID
Other
Enumeration date
06/21/2007
Last updated
07/08/2007
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