Individual
DR. BRENT JOHNSON SIMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2960 CORTEZ, IDAHO FALLS, ID 83404
(208) 529-0999
(208) 529-2570
Mailing address
2960 CORTEZ, IDAHO FALLS, ID 83404
(208) 529-0999
(208) 529-2570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1573
ID
Other
Enumeration date
10/02/2006
Last updated
07/09/2007
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