Individual
DR. ROBERT C. GAUDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1718 S. MILLENIUM WAY, MERIDIAN, ID 83642-1511
(208) 887-1053
(208) 884-5346
Mailing address
1718 S. MILLENIUM WAY, MERIDIAN, ID 83642-1511
(208) 887-1053
(208) 884-5346
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D-1954-OR
ID
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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