Robert E Digrazia, Dds, Pa | |
900 N Liberty St. Suite 202 Boise ID 83704-8707 | |
(208) 376-7413 | |
(208) 376-7428 |
Full Name | Robert E Digrazia, Dds, Pa |
---|---|
Speciality | Dentist |
Location | 900 N Liberty St., Boise, Idaho |
Authorized Official Name and Position | Robert Eugene Digrazia (PRESIDENT) |
Authorized Official Contact | 2083767413 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Robert E Digrazia, Dds, Pa 900 N Liberty St. Suite 202 Boise ID 83704-8707 Ph: (208) 376-7413 | Robert E Digrazia, Dds, Pa 900 N Liberty St. Suite 202 Boise ID 83704-8707 Ph: (208) 376-7413 |
NPI Number | 1346413192 |
---|---|
Provider Enumeration Date | 04/11/2008 |
Last Update Date | 04/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346413192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D1520 (Idaho) | Primary |
News Archive
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