Individual
DR. BRENT CHARLES GOLDTHORPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
(208) 696-7203
(208) 587-3324
Mailing address
120 DESERT SAGE WAY, MOUNTAIN HOME, ID 83647-1038
(208) 587-3988
(208) 587-3324
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2358
MT
1223G0001X
General Practice Dentistry
Primary
D4080
ID
Other
Enumeration date
07/28/2008
Last updated
03/18/2024
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