Individual
DR. LAURA BREANNA VIDETICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
651 E PARKCENTER BLVD, BOISE, ID 83706-6575
(208) 384-9872
Mailing address
651 E PARKCENTER BLVD, BOISE, ID 83706-6575
(208) 384-9872
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-PD-5274
ID
Other
Enumeration date
10/02/2018
Last updated
09/18/2025
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