LAURA BREANNA VIDETICH

BOISE, ID
NPI1902381247
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: ID  D-PD-5274)
Enumeration Date2018-10-02
Last Update Date2025-09-18
Business Address
Dr. LAURA BREANNA VIDETICH DDS
651 E PARKCENTER BLVD
BOISE, ID 83706-6575
Phone number: 208-384-9872
Mailing Address
Dr. LAURA BREANNA VIDETICH DDS
651 E PARKCENTER BLVD
BOISE, ID 83706-6575
Phone number: 208-384-9872
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