Brian Bird Dmd, Pllc

NPI #1134567852 in Boise, Idaho

Provider Information

NPI Number: 1134567852
Entity Type: Organization
Organization Name: Brian Bird Dmd, Pllc
Primary Specialty: Dentist
Enumeration Date: Jun 5, 2013
Last Updated: Feb 8, 2016

Practice Location

Address: 1744 N MITCHELL ST
City: Boise
State: Idaho
ZIP Code: 83704-6542
Phone: (208) 322-1263

Authorized Official

Name: BRIAN R BIRD
Title: OWNER
Phone: (208) 869-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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