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NPI Profile for CHARLES R WESTERBERG in BOISE, ID.
A dental technician specializing in making and fitting dentures as a direct service to the public rather than through a licensed dentist.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Denturist |
122400000X |
| NPI Number | 1659760684 |
|
| Status | Active | |
| Credentials | LD LICENSED DENTURIS | |
| Entity | Individual | |
| Enumeration date | 01/14/2015 | |
| Last updated | 01/14/2015 - About 11 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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CHARLES R WESTERBERG
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