DELBERT R PROVANT

MERIDIAN, ID
NPI1952472052
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223D0001X Dentist, Dental Public Health
(Licence: ID  D1223)
Enumeration Date2006-11-11
Last Update Date2024-12-22
Business Address
Dr. DELBERT R PROVANT DDS
317 W CHERRY LN
MERIDIAN, ID 83642-1608
Phone number: 208-888-2055
Mailing Address
Dr. DELBERT R PROVANT DDS
317 W CHERRY LN
MERIDIAN, ID 83642-1608
Phone number: 208-888-2055
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