Individual
DR. STANTON D WIDMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4207 CLOCKTOWER AVE., CALDWELL, ID 83607-5236
(208) 454-3636
(208) 454-1333
Mailing address
4207 CLOCKTOWER AVE., CALDWELL, ID 83607-5236
(208) 454-3636
(208) 454-1333
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
#D-4148
ID
Other
Enumeration date
07/07/2008
Last updated
07/07/2008
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