| Bradford B. Fisher Dentistry, Pllc | |
|
207 7th Ave S Nampa ID 83651-3846 | |
| (208) 442-0000 | |
| (208) 466-9853 |
| Full Name | Bradford B. Fisher Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 207 7th Ave S, Nampa, Idaho |
| Authorized Official Name and Position | Bradford B Fisher (OWNER) |
| Authorized Official Contact | 2084420000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bradford B. Fisher Dentistry, Pllc 207 7th Ave S Nampa ID 83651-3846 Ph: (208) 442-0000 | Bradford B. Fisher Dentistry, Pllc 207 7th Ave S Nampa ID 83651-3846 Ph: (208) 442-0000 |
| NPI Number | 1891122776 |
|---|---|
| Provider Enumeration Date | 10/09/2013 |
| Last Update Date | 10/09/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891122776 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D1705 (Idaho) | Primary |
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