BRIAN BIRD

BOISE, ID
NPI1316931819
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-3837)
Enumeration Date2005-09-12
Last Update Date2015-12-21
Business Address
BRIAN BIRD DMD
1744 N MITCHELL ST
BOISE, ID 83704-6542
Phone number: 208-869-1038
Mailing Address
BRIAN BIRD DMD
1744 N MITCHELL ST
BOISE, ID 83704-6542
Phone number: 208-869-1038
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