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Brock Coletti

NPI #1720447097 in Meridian, Idaho

Provider Information

NPI Number
1720447097
Entity Type
Individual
Name
Brock Coletti
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Feb 15, 2016
Last Updated
Nov 13, 2019

Practice Location

Address
3235 N TOWERBRIDGE WAY STE 200
City
Meridian
State
Idaho
ZIP Code
83646-5721
Phone
(208) 888-7711

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program
Dentist - Pediatric Dentistry — Pediatric Dentistry

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