Individual
CHRISTOPHER SPROTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 377-2777
Mailing address
6019 N EAGLE RD, BOISE, ID 83713-0997
(208) 377-2777
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D-5402-PE
ID
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/09/2017
Last updated
06/04/2022
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