Individual
DR. GREGARY R BOEHME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2152 VILLAGE PARK AVE, TWIN FALLS, ID 83301-4172
(208) 735-5599
(208) 735-5597
Mailing address
2152 VILLAGE PARK AVE, TWIN FALLS, ID 83301-4172
(208) 735-5599
(208) 735-5597
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4687
ID
Other
Enumeration date
07/15/2015
Last updated
02/08/2024
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