Individual
DR. ANNA M BUDOLFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
9203 W OVERLAND RD, BOISE, ID 83709-2502
(208) 375-1012
(208) 375-1098
Mailing address
9203 W OVERLAND RD, BOISE, ID 83709-2502
(208) 375-1012
(208) 375-1098
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4007
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6P100
BLUE CROSS
ID
Enumeration date
12/19/2006
Last updated
02/09/2023
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