DR. Braden M Stauts, DDS

NPI #1578588364 in Boise, Idaho

Provider Information

NPI Number
1578588364
Entity Type
Individual
Name
DR. Braden M Stauts, DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Prosthodontics
Credential
DDS
Enumeration Date
Jul 13, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
1000 N CURTIS RD
Address 2
SUITE 203
City
Boise
State
Idaho
ZIP Code
83706-1337
Phone
(208) 376-0567

Specialties & Taxonomy Codes

Specialty
Dentist - ProsthodonticsProsthodontics

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