Individual
DR. DAXTON PULHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 960-6260
Mailing address
607 2ND ST S, NAMPA, ID 83651-3837
(208) 960-6260
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4850
ID
Other
Enumeration date
06/14/2017
Last updated
07/21/2022
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