LOREN E. SHORT

CALDWELL, ID
NPI1053597245
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID  D-4121-OR)
Enumeration Date2008-01-17
Last Update Date2008-01-17
Business Address
Dr. LOREN E. SHORT D.M.D.
4203 CLOCK TOWER AVE.
CALDWELL, ID 83607-5006
Phone number: 208-454-4112
Mailing Address
Dr. LOREN E. SHORT D.M.D.
4203 CLOCK TOWER AVE.
CALDWELL, ID 83607-5006
Phone number: 208-454-4112