DR. Loren E. Short, D.M.D.

NPI #1053597245 in Caldwell, Idaho

Provider Information

NPI Number
1053597245
Entity Type
Individual
Name
DR. Loren E. Short, D.M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
D.M.D.
Enumeration Date
Jan 17, 2008
Last Updated
Jan 17, 2008

Practice Location

Address
4203 CLOCK TOWER AVE.
State
Idaho
ZIP Code
83607-5006
Phone
(208) 454-4112

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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