MR. GENNADY BABICHENKO, LD

Denturist

Active Individual
NPI: 1629115761

Practice Address

10480 W GARVERDALE CT STE 804B
Boise, ID 83704

Phone: (208) 376-6613

Specialties

Specialty Code Primary License
Denturist 122400000X Yes LD44 (ID)

Frequently Asked Questions

NPI 1629115761 is the National Provider Identifier for MR. GENNADY BABICHENKO, LD, a Denturist provider located in Boise, ID. This NPI was enumerated on January 30, 2007.
MR. GENNADY BABICHENKO, LD practices at 10480 W GARVERDALE CT STE 804B, Boise, ID 83704.

Quick Facts

NPI
1629115761
Type
Individual
Enumerated
Jan 30, 2007
Last Updated
Jul 8, 2007

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