MATTHEW G. FETHKE

BOISE, ID
NPI1447343488
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-3413)
Enumeration Date2006-10-02
Last Update Date2007-07-08
Business Address
-- MATTHEW G. FETHKE D.D.S.
12212 W AMITY RD
BOISE, ID 83709-5389
Phone number: 208-343-4732
Mailing Address
-- MATTHEW G. FETHKE D.D.S.
12212 W AMITY RD
BOISE, ID 83709-5389
Phone number: 208-343-4732
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