DANIEL REED BODILY

BOISE, ID
NPI1427129782
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D3109)
Enumeration Date2006-11-10
Last Update Date2007-07-08
Business Address
-- DANIEL REED BODILY MDM
1003 N 8TH ST
BOISE, ID 83702-4218
Phone number: 208-342-6549
Mailing Address
-- DANIEL REED BODILY MDM
1003 N 8TH ST
BOISE, ID 83702-4218
Phone number: 208-342-6549
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