Daniel Reed Bodily II, MDM

NPI #1427129782 in Boise, Idaho

Provider Information

NPI Number: 1427129782
Entity Type: Individual
Name: Daniel Reed Bodily II, MDM
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: MDM
Enumeration Date: Nov 10, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1003 N 8TH ST
City: Boise
State: Idaho
ZIP Code: 83702-4218
Phone: (208) 342-6549

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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