Individual
DR. CURTIS W CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
295 ANDERSON RD, SHELLEY, ID 83274
(208) 419-0821
Mailing address
1035 OCTOBER CV, SHELLEY, ID 83274-5068
(208) 419-0821
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4169
ID
Other
Enumeration date
09/12/2008
Last updated
09/12/2008
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