DR. Andrea Sue Radabaugh, DDS

NPI #1316258098 in Pocatello, Idaho

Provider Information

NPI Number: 1316258098
Entity Type: Individual
Name: DR. Andrea Sue Radabaugh, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jun 28, 2010
Last Updated: Jun 28, 2010

Practice Location

Address: 465 MEMORIAL DR
City: Pocatello
State: Idaho
ZIP Code: 83201-4008
Phone: (208) 282-6000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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