Individual
FRED BRION LOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
9460 W FRANKLIN RD, BOISE, ID 83709-0500
(208) 377-0410
(208) 377-0444
Mailing address
9460 W FRANKLIN RD, BOISE, ID 83709-0500
(208) 377-0410
(208) 377-0444
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-1566
ID
Other
Enumeration date
04/17/2007
Last updated
07/09/2007
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