Robert E Digrazia, Dds, PA

NPI #1346413192 in Boise, Idaho

Provider Information

NPI Number: 1346413192
Entity Type: Organization
Organization Name: Robert E Digrazia, Dds, PA
Primary Specialty: Dentist
Enumeration Date: Apr 11, 2008
Last Updated: Apr 11, 2008

Practice Location

Address: 900 N LIBERTY ST.
Address 2: SUITE 202
City: Boise
State: Idaho
ZIP Code: 83704-8707
Phone: (208) 376-7413

Authorized Official

Name: DR. ROBERT EUGENE DIGRAZIA, DDS
Title: PRESIDENT
Phone: (208) 376-7413

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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