WAYNE JULIAN SPECTOR

KETCHUM, ID
NPI1861600330
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: ID  D-1762)
Enumeration Date2007-05-18
Last Update Date2007-07-08
Business Address
-- WAYNE JULIAN SPECTOR D.M.D.
680 2ND AVE. NORTH
KETCHUM, ID 83340
Phone number: 208-726-7559
Mailing Address
-- WAYNE JULIAN SPECTOR D.M.D.
PO BOX 4591
KETCHUM, ID 83340-4591
Phone number: 208-726-7559