Individual
MICHAEL PYSNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
349 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-5100
Mailing address
349 W IOWA AVE, NAMPA, ID 83686-2856
(208) 467-5100
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-4724
ID
Other
Enumeration date
02/18/2016
Last updated
12/03/2021
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