Randy Demetter, DDS

NPI #1275941288 in Boise, Idaho

Provider Information

NPI Number: 1275941288
Entity Type: Individual
Name: Randy Demetter, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Periodontics
Credential: DDS
Enumeration Date: Jul 23, 2014
Last Updated: Apr 5, 2023

Practice Location

Address: 140 E BOISE AVE
City: Boise
State: Idaho
ZIP Code: 83706-4302
Phone: (208) 385-9228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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