Individual
DR. BRYAN S SCHIAVONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1410 S MAIN ST, MOSCOW, ID 83843-8930
(208) 882-3214
(208) 882-2605
Mailing address
1410 S MAIN ST, MOSCOW, ID 83843-8930
(208) 882-3214
(208) 882-2605
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3563
ID
Other
Enumeration date
03/27/2007
Last updated
07/09/2007
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