person
Nicholas Ryan Gensburger, LD
Denturist in Caldwell, Idaho
NPI 1669179495

Nicholas Ryan Gensburger is a Denturist based in Caldwell, ID. Nicholas Ryan Gensburger practices in Caldwell, ID and has the professional credentials of LD. The NPI Number for Nicholas Ryan Gensburger is 1669179495 and holds a License No. LD-136 (Idaho).

The current practice location address for Nicholas Ryan Gensburger is 2124 Blaine St, Caldwell, ID and can be reached out via phone at 208-454-0311. You can also correspond with Nicholas Ryan Gensburger through the mailing address at 2124 BLAINE ST, CALDWELL, ID - 83605-4426 (mailing address contact number: 208-454-0311).

Location: 2124 Blaine St, Caldwell, ID, 83605-4426
person
Provider Profile Details
NPI Number
1669179495
Provider Name
Nicholas Ryan Gensburger
Credential
LD
Provider Entity Type
Individual
Gender
Male
Address
2124 Blaine St, Caldwell, ID, 83605-4426
Phone Number
208-454-0311
Fax Number
Provider Enumeration Date
02/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2124 Blaine St
City
State
Zip
83605-4426
Phone Number
208-454-0311
Fax Number
person
Provider Business Mailing Address Details
Address
2124 Blaine St
City
State
Zip
83605-4426
Phone Number
208-454-0311
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
LD-136 (Idaho)
Definition
Definition to come.
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