SHANE DANIEL VANIA

BOISE, ID
NPI1083642722
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D3895)
Enumeration Date2006-06-29
Last Update Date2007-09-27
Business Address
Dr. SHANE DANIEL VANIA DDS
900 N LIBERTY ST STE 304
BOISE, ID 83704-8729
Phone number: 208-407-0079
Mailing Address
Dr. SHANE DANIEL VANIA DDS
304 SUN BURST WAY
BOISE, ID 83709-0661
Phone number:
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