DR. Stanton D Widmer, D.D.S.

NPI #1497918809 in Caldwell, Idaho

Provider Information

NPI Number: 1497918809
Entity Type: Individual
Name: DR. Stanton D Widmer, D.D.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - Endodontics
Credential: D.D.S.
Enumeration Date: Jul 7, 2008
Last Updated: Jul 7, 2008

Practice Location

Address: 4207 CLOCKTOWER AVE.
City: Caldwell
State: Idaho
ZIP Code: 83607-5236
Phone: (208) 454-3636

Specialties & Taxonomy Codes

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

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Organizations

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