Individual
DR. BO CROFOOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
44 S CENTER ST, REXBURG, ID 83440-1916
(208) 356-4240
(208) 356-5361
Mailing address
44 S CENTER ST, REXBURG, ID 83440-1916
(208) 356-4240
(208) 356-5361
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3817
ID
Other
Enumeration date
12/12/2006
Last updated
01/02/2024
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