Individual
DR. DAVID LYLE FARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
16548 NORTH FRANKLIN BLVD., NAMPA, ID 83687
(208) 461-3070
(208) 461-3071
Mailing address
16548 NORTH FRANKLIN BLVD., NAMPA, ID 83687
(208) 461-3070
(208) 461-3071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
66D1775
ID
Other
Enumeration date
09/04/2013
Last updated
09/04/2013
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