Individual
WILLIAM EDWIN PEARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
749 OXFORD DR, IDAHO FALLS, ID 83401-4203
(208) 529-0420
(208) 522-7971
Mailing address
1955 E 25TH ST, IDAHO FALLS, ID 83404-6461
(208) 529-4572
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1789
ID
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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