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Individual

DOUGLAS STEVEN BARNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
640 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5299
(208) 523-5400
(208) 528-0565
Mailing address
640 S WOODRUFF AVE, IDAHO FALLS, ID 83401-5299
(208) 523-5400
(208) 528-0565

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3063
ID

Other

Enumeration date
04/02/2008
Last updated
04/02/2008
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