Organization
BRADFORD B. FISHER DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADFORD B FISHER DDS (OWNER)
(208) 442-0000
Entity
Organization
Contact information
Practice address
207 7TH AVE S, NAMPA, ID 83651-3846
(208) 442-0000
(208) 466-9853
Mailing address
207 7TH AVE S, NAMPA, ID 83651-3846
(208) 442-0000
(208) 466-9853
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D1705
ID
Other
Enumeration date
10/09/2013
Last updated
10/09/2013
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