Individual
DR. JAMES ROCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11092 W PETUNIA DR, BOISE, ID 83709-7098
(208) 891-0725
Mailing address
10400 W OVERLAND RD, BOISE, ID 83709-1433
Taxonomy
Speciality
Code
Description
License number
State
1223X0008X
Oral and Maxillofacial Radiology Dentistry
Primary
D-5186-RD
ID
Other
Enumeration date
03/13/2021
Last updated
03/13/2021
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