DARREL L MOONEY

BOISE, ID
NPI1144232869
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: ID  D1650PR)
Enumeration Date2006-08-12
Last Update Date2007-07-08
Business Address
-- DARREL L MOONEY D.D.S. , F.A.C.P.
314 W BANNOCK ST
BOISE, ID 83702-6032
Phone number: 208-336-9333
Mailing Address
-- DARREL L MOONEY D.D.S. , F.A.C.P.
314 W BANNOCK ST
BOISE, ID 83702-6032
Phone number: 208-336-9333