Individual
DR. BRYAN JOHN DILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
108 S POWERLINE RD, NAMPA, ID 83686-5439
(208) 466-4437
Mailing address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 938-8228
(208) 938-2442
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4240
ID
Other
Enumeration date
07/15/2009
Last updated
07/15/2009
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