SCOTT LYNN WIDDISON

BOISE, ID
NPI1336375427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  d3153)
Enumeration Date2009-06-03
Last Update Date2009-06-03
Business Address
Dr. SCOTT LYNN WIDDISON dmd
4061 OVERLAND RD
BOISE, ID 83705-2970
Phone number: 208-343-1442
Mailing Address
Dr. SCOTT LYNN WIDDISON dmd
4061 OVERLAND RD
BOISE, ID 83705-2970
Phone number: 208-343-1442
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