Individual
DR. FRED STILLINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2015 N LOCUST GROVE RD, MERIDIAN, ID 83646-1827
(208) 867-8599
Mailing address
2015 N LOCUST GROVE RD, MERIDIAN, ID 83646-1827
(208) 867-8599
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3027
ID
Other
Enumeration date
06/19/2005
Last updated
12/12/2023
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