TRENT LARRY STUCKI

NAMPA, ID
NPI1265121784
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-5503)
Enumeration Date2023-05-01
Last Update Date2023-05-01
Business Address
TRENT LARRY STUCKI DMD
624 3RD ST S
NAMPA, ID 83651-3840
Phone number: 208-505-8586
Mailing Address
TRENT LARRY STUCKI DMD
1874 N THISTLE DR
KUNA, ID 83634-3492
Phone number: 208-521-1089