Brian Bird, DMD

NPI #1316931819 in Boise, Idaho

Provider Information

NPI Number: 1316931819
Entity Type: Individual
Name: Brian Bird, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Sep 12, 2005
Last Updated: Dec 21, 2015

Practice Location

Address: 1744 N MITCHELL ST
City: Boise
State: Idaho
ZIP Code: 83704-6542
Phone: (208) 869-1038

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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