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Individual

DR. JOHN HOWELL MUMFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
140 E BOISE AVE, BOISE, ID 83706
(208) 385-9228
(208) 385-9292
Mailing address
16801 E. MISSION PARKWAY, APT P204, SPOKANE VALLEY, WA 99216
(301) 332-9219

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D-2027
ID

Other

Enumeration date
01/26/2006
Last updated
11/05/2015
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