Nicholas Ryan Gensburger, LD

NPI #1669179495 in Caldwell, Idaho

Provider Information

NPI Number
1669179495
Entity Type
Individual
Name
Nicholas Ryan Gensburger, LD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Denturist
Credential
LD
Enumeration Date
Feb 13, 2023
Last Updated
Feb 13, 2023

Practice Location

Address
2124 BLAINE ST
State
Idaho
ZIP Code
83605-4426
Phone
(208) 454-0311

Specialties & Taxonomy Codes

Specialty
Denturist

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