DR. Shane Daniel Vania, DDS

NPI #1083642722 in Boise, Idaho

Provider Information

NPI Number: 1083642722
Entity Type: Individual
Name: DR. Shane Daniel Vania, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 29, 2006
Last Updated: Sep 27, 2007

Practice Location

Address: 900 N LIBERTY ST STE 304
City: Boise
State: Idaho
ZIP Code: 83704-8729
Phone: (208) 407-0079

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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