STANTON D WIDMER

CALDWELL, ID
NPI1497918809
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: ID  #D-4148)
Enumeration Date2008-07-07
Last Update Date2008-07-07
Business Address
Dr. STANTON D WIDMER D.D.S.
4207 CLOCKTOWER AVE.
CALDWELL, ID 83607-5236
Phone number: 208-454-3636
Mailing Address
Dr. STANTON D WIDMER D.D.S.
4207 CLOCKTOWER AVE.
CALDWELL, ID 83607-5236
Phone number: 208-454-3636
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