CARRICK COLEMAN BREWSTER

BOISE, ID
NPI1053585042
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  d3615)
Enumeration Date2008-04-21
Last Update Date2008-04-21
Business Address
Dr. CARRICK COLEMAN BREWSTER DDS
7337 NORTHVIEW ST
BOISE, ID 83704-7362
Phone number: 208-376-7447
Mailing Address
Dr. CARRICK COLEMAN BREWSTER DDS
7337 NORTHVIEW ST
BOISE, ID 83704-7362
Phone number: 208-376-7447