WAYNE M DAVIS

BOISE, ID
NPI1720109465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  d1320)
Enumeration Date2007-04-02
Last Update Date2007-07-08
Business Address
Dr. WAYNE M DAVIS
9733 USTICK RD
BOISE, ID 83704-5202
Phone number: 208-375-8720
Mailing Address
Dr. WAYNE M DAVIS
9733 USTICK RD
BOISE, ID 83704-5202
Phone number: 208-375-8720
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