Individual
DR. BRYCE CHRISTOFER KILLIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
207 W. ELLIS ST., PAUL, ID 83347
(208) 438-4855
(208) 438-4835
Mailing address
PO BOX 549, PAUL, ID 83347-0549
(208) 438-4855
(208) 438-4835
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3272
ID
Other
Enumeration date
09/13/2006
Last updated
07/08/2007
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