Individual
DR. BRIAN JEFFERY KOVANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3200 N LESLIE WAY STE 110, MERIDIAN, ID 83646-5362
(208) 322-0024
(208) 375-5721
Mailing address
3200 N LESLIE WAY STE 110, MERIDIAN, ID 83646-5362
(208) 322-0024
(208) 375-5721
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5109
ID
Other
Enumeration date
08/19/2005
Last updated
12/11/2023
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