Individual
JUSTIN D BELK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1236 BOND AVE, REXBURG, ID 83440-3503
(208) 356-5439
Mailing address
746 S 1325 W, PINGREE, ID 83262-1321
(208) 680-7767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-5518
ID
Other
Enumeration date
03/29/2023
Last updated
11/16/2023
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