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Organization

BABICHENKO DENTAL LAB

Active
Other names
European Denture Center
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GENNADY S BABICHENKO LD (OWNER)
(208) 376-6613
Entity
Organization

Contact information

Practice address
10480 W GARVERDALE CT, SUITE 804B, BOISE, ID 83704-5411
(208) 376-6613
(208) 376-6613
Mailing address
10480 W GARVERDALE CT, SUITE 804B, BOISE, ID 83704-5411
(208) 376-6613
(208) 376-6613

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
LD44
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806208700
ID
Enumeration date
02/07/2007
Last updated
08/08/2008
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