RANDY DEMETTER, DDS
Dentist - Periodontics
Active
Individual
NPI: 1275941288
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - Periodontics | 1223P0300X | Yes | D-4831-PE (ID) |
Frequently Asked Questions
NPI 1275941288 is the National Provider Identifier for RANDY DEMETTER, DDS, a Dentist - Periodontics provider located in Boise, ID. This NPI was enumerated on July 23, 2014.
RANDY DEMETTER, DDS practices at 140 E BOISE AVE, Boise, ID 83706.
Quick Facts
- NPI
- 1275941288
- Type
- Individual
- Enumerated
- Jul 23, 2014
- Last Updated
- Apr 5, 2023
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