SCOTT PERKINS

POCATELLO, ID
NPI1083284897
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-5268)
Enumeration Date2021-06-25
Last Update Date2021-06-25
Business Address
SCOTT PERKINS
465 MEMORIAL DR
POCATELLO, ID 83201-4008
Phone number: 208-282-6000
Mailing Address
SCOTT PERKINS
4170 HAWTHORNE RD APT C306
CHUBBUCK, ID 83202-2891
Phone number: 612-750-0107