Idaho State University
NPI #1972720936 in Pocatello, Idaho
Provider Information
- NPI Number
- 1972720936
- Entity Type
- Organization
- Organization Name
- Idaho State University
- Primary Specialty
- Dental Hygienist
- Enumeration Date
- Apr 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- DR. BRIAN ROBERT CRAWFORD, DDS
- Title
- PROGRAM DIRECTOR DENTAL HYGIENE
- Phone
- (208) 282-5275
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dental Hygienist |
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