DR. Spencer E. Mauseth, D.D.S.

NPI #1619187390 in Rexburg, Idaho

Provider Information

NPI Number
1619187390
Entity Type
Individual
Name
DR. Spencer E. Mauseth, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - Pediatric Dentistry
Credential
D.D.S.
Enumeration Date
May 23, 2007
Last Updated
Aug 7, 2019

Practice Location

Address
859 S YELLOWSTONE HWY
Address 2
SUITE #1202
State
Idaho
ZIP Code
83440-5293
Phone
(208) 552-5439

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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