BRYCE CONDIE PORTER

BOISE, ID
NPI1831242098
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-1804)
Enumeration Date2007-01-19
Last Update Date2007-07-08
Business Address
DR. BRYCE CONDIE PORTER D.D.S.
5460 W FRANKLIN RD SUITE G
BOISE, ID 83705-1080
Phone number: 208-342-1411
Mailing Address
DR. BRYCE CONDIE PORTER D.D.S.
5460 W FRANKLIN RD SUITE G
BOISE, ID 83705-1080
Phone number: 208-342-1411
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