person
Mr. Gennady S Babichenko, LD
Denturist in Boise, Idaho
NPI 1629115761

Gennady S Babichenko is a Denturist based in Boise, ID. Gennady S Babichenko practices in Boise, ID and has the professional credentials of LD. The NPI Number for Gennady S Babichenko is 1629115761 and holds a License No. LD44 (Idaho).

The current practice location address for Gennady S Babichenko is 10480 W Garverdale Ct Ste 804B, Boise, ID and can be reached out via phone at 208-376-6613.

Location: 10480 W Garverdale Ct Ste 804B, Boise, ID, 83704-5477
person
Provider Profile Details
NPI Number
1629115761
Provider Name
Gennady S Babichenko
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
10480 W Garverdale Ct Ste 804B, Boise, ID, 83704-5477
Phone Number
208-376-6613
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
10480 W Garverdale Ct Ste 804B
City
State
Zip
83704-5477
Phone Number
208-376-6613
Fax Number
person
Provider Business Mailing Address Details
Address
10480 W Garverdale Ct Ste 804B
City
State
Zip
83704-5477
Phone Number
208-376-6613
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
LD44 (Idaho)
Definition
Definition to come.
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