Elmer Raymond Cherry IV, D.D.S

NPI #1861621278 in Victor, Idaho

Provider Information

NPI Number: 1861621278
Entity Type: Individual
Name: Elmer Raymond Cherry IV, D.D.S
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: D.D.S
Enumeration Date: Jul 7, 2009
Last Updated: Apr 25, 2012

Practice Location

Address: 7389 S. HWY. 33 SUITE A
City: Victor
State: Idaho
ZIP Code: 83455
Phone: (208) 787-2323

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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