GENNADY S BABICHENKO

BOISE, ID
NPI1629115761
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122400000X Denturist
(Licence: ID  LD44)
Enumeration Date2007-01-30
Last Update Date2007-07-08
Business Address
Mr. GENNADY S BABICHENKO LD
10480 W GARVERDALE CT STE 804B
BOISE, ID 83704-5477
Phone number: 208-376-6613
Mailing Address
Mr. GENNADY S BABICHENKO LD
10480 W GARVERDALE CT STE 804B
BOISE, ID 83704-5477
Phone number: 208-376-6613