RUSSELL FULLER MCKINLEY

BOISE, ID
NPI1457370686
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D1869)
Enumeration Date2006-07-19
Last Update Date2007-07-08
Business Address
-- RUSSELL FULLER MCKINLEY DDS
2600 ROSE HILL STE 100
BOISE, ID 83705
Phone number: 208-345-1386
Mailing Address
-- RUSSELL FULLER MCKINLEY DDS
2600 ROSE HILL STE 100
BOISE, ID 83705
Phone number: 208-345-1386