Individual
JOSHUA CLINTON DEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
725 FAIR ST, BUHL, ID 83316-6442
(208) 543-8271
(208) 543-8272
Mailing address
794 EASTLAND DR, TWIN FALLS, ID 83301-6856
(208) 734-3312
(208) 734-5036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0025592
TX
1223G0001X
General Practice Dentistry
Primary
D-4406
ID
Other
Enumeration date
07/06/2010
Last updated
04/15/2021
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