Individual
DR. CASEY DALE SANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
10200 W EMERALD ST STE 105, BOISE, ID 83704-8900
(208) 376-7954
Mailing address
10200 W EMERALD ST, BOISE, ID 83704-8900
(208) 376-7954
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5304
ID
Other
Enumeration date
06/22/2021
Last updated
04/28/2026
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