Anthony Ewell-Kollmann, DMD

NPI #1952885121 in Mountain Home Afb, Idaho

Provider Information

NPI Number
1952885121
Entity Type
Individual
Name
Anthony Ewell-Kollmann, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
DMD
Enumeration Date
Sep 24, 2018
Last Updated
Sep 26, 2022

Practice Location

Address
90 HOPE DR
State
Idaho
ZIP Code
83648-1057
Phone
(208) 828-7355

Specialties & Taxonomy Codes

Specialty
Dentist

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