DR. Larue Antoine Bluth, D.M.D.

NPI #1396961157 in Boise, Idaho

Provider Information

NPI Number: 1396961157
Entity Type: Individual
Name: DR. Larue Antoine Bluth, D.M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - Endodontics
Credential: D.M.D.
Enumeration Date: Apr 18, 2007
Last Updated: Nov 9, 2009

Practice Location

Address: 5244 N EAGLE RD
City: Boise
State: Idaho
ZIP Code: 83713-0945
Phone: (208) 890-4980

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Endodontics — Endodontics	1223E0200X	Primary

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