DR. SHANNON WIDMIER, D.D. S. P.A.

Dentist - General Practice

Active Individual
NPI: 1396842779

Practice Address

702 CENTER STREET WEST
Kimberly, ID 83341

Phone: (208) 423-6444

Specialties

Specialty Code Primary License
Dentist - General Practice 1223G0001X Yes D3342 (ID)

Frequently Asked Questions

NPI 1396842779 is the National Provider Identifier for DR. SHANNON WIDMIER, D.D. S. P.A., a Dentist - General Practice provider located in Kimberly, ID. This NPI was enumerated on September 20, 2006.
DR. SHANNON WIDMIER, D.D. S. P.A. practices at 702 CENTER STREET WEST, Kimberly, ID 83341.

Quick Facts

NPI
1396842779
Type
Individual
Enumerated
Sep 20, 2006
Last Updated
Jul 8, 2007

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