DR. Brian Jeffery Kovanda, DMD

NPI #1437141082 in Meridian, Idaho

Provider Information

NPI Number
1437141082
Entity Type
Individual
Name
DR. Brian Jeffery Kovanda, DMD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Aug 19, 2005
Last Updated
Dec 11, 2023

Practice Location

Address
3200 N LESLIE WAY STE 110
State
Idaho
ZIP Code
83646-5362
Phone
(208) 322-0024

Specialties & Taxonomy Codes

Specialty
Dentist

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