Darrel L Mooney, D.D.S. , F.A.C.P.

NPI #1144232869 in Boise, Idaho

Provider Information

NPI Number
1144232869
Entity Type
Individual
Name
Darrel L Mooney, D.D.S. , F.A.C.P.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Prosthodontics
Credential
D.D.S. , F.A.C.P.
Enumeration Date
Aug 12, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
314 W BANNOCK ST
City
Boise
State
Idaho
ZIP Code
83702-6032
Phone
(208) 336-9333

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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