KOALBY BROWN

BOISE, ID
NPI1437641735
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D4924)
Enumeration Date2018-06-01
Last Update Date2026-04-30
Business Address
KOALBY BROWN
13219 W PERSIMMON LN
BOISE, ID 83713-1986
Phone number: 208-373-0018
Mailing Address
KOALBY BROWN
13219 W PERSIMMON LN
BOISE, ID 83713-1986
Phone number: 208-373-0018
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