CARSON STEVEN DIAL

STAR, ID
NPI1497105944
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  D-4757)
Additional Taxonomies1223G0001X Dentist, General Practice
(Licence: ID  D-4757)
Enumeration Date2016-06-15
Last Update Date2024-03-04
Business Address
Dr. CARSON STEVEN DIAL DMD
10661 W STATE ST
STAR, ID 83669-5924
Phone number: 208-286-9890
Mailing Address
Dr. CARSON STEVEN DIAL DMD
10661 W STATE ST
STAR, ID 83669-5924
Phone number: 082-286-9890