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Individual

DR. MARTIN T SACHSE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D., P.C.

Contact information

Practice address
2720 OVERLAND ROAD, BOISE, ID 83705
(208) 345-9096
(208) 345-8412
Mailing address
2720 OVERLAND ROAD, BOISE, ID 83705
(208) 345-9096
(208) 345-8412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
ID03580
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ID03580
ST OF ID DENTAL PROVIDER
ID
Enumeration date
10/03/2006
Last updated
07/09/2007
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