Individual
DR. PHILIP OPENSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
201 S PARADISE AVE, MIDDLETON, ID 83644-5809
(208) 585-0048
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 467-4431
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
34032
CA
1223G0001X
General Practice Dentistry
Primary
D-4989
ID
Other
Enumeration date
04/04/2007
Last updated
03/18/2021
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