BRADEN M STAUTS

BOISE, ID
NPI1578588364
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0700X Dentist, Prosthodontics
(Licence: ID  D-2083-PR)
Enumeration Date2006-07-13
Last Update Date2007-07-08
Business Address
Dr. BRADEN M STAUTS DDS
1000 N CURTIS RD SUITE 203
BOISE, ID 83706-1337
Phone number: 208-376-0567
Mailing Address
Dr. BRADEN M STAUTS DDS
1000 N CURTIS RD SUITE 203
BOISE, ID 83706-1337
Phone number: 208-376-0567
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